Asia-Pacific countries have increasingly sought to innovate the way they are governed. The following chapter begins with the question: How have global economic governance regimes affected the development of public governance in the region? It then narrows the focus to public financial management and procurement, looking at how external forces have affected the redesign of governments and governance models. It draws on evidence from recent evaluations of World Bank and other international partner support to understand why governments and their international partners fostered certain types of innovations, including participatory expenditure reviews, use of performance information, accelerated disbursements, cutting costs through tighter central controls, hard budget constraints, medium-term expenditure frameworks, modernized accounting systems, computer-based financial management information systems, contracting out public services, merit-based posting of staff in key positions, and salary top ups. It examines what advances have been made and the challenges faced. It concludes with suggestions for further research.