This article focuses on public management reform in Pakistan and how the reform trajectory has evolved over the past couple of decades. Reforms in Pakistan represent a mix of reform ideas and elements that continually evolve and respond to globalization and current reform trends with donor influence. The article is divided into three sections. The first section introduces the recent salient reform initiatives. The second section discusses the key challenges for Pakistan over the next years in terms of reform implementation and how they can be addressed. Finally, implications for research on public management reforms in developing countries are discussed.