Public-Private Partnerships have become a popular mechanism in both developed and emerging countries for delivering infrastructure services. Done right, they can merge the public sector’s authority and accountability with the private sector’s dynamism, flexibility, and resources. Done wrong, they can imperil both efficiency and accountability. When can development and management by Public-Private Partnerships (PPPs) be a solution? The key is designing partnerships to fit their context and policy goals, financing and regulating them to be viable and fair, and managing them to be efficient and politically sustainable.