The analysis of currency and maturity mismatches in sectoral balance sheets is increasingly becoming a regular element in the IMF's toolkit for surveillance in emerging market countries. This paper describes this so-called balance sheet approach and shows how it can be applied to detect vulnerabilities and shape policy advice. It also provides a broad-brush overview of how balance sheet vulnerabilities have evolved over the past decade and presents a number of case studies.This study is derived from several papers prepared for the IMF's Executive Board, starting with "The Balance Sheet Approach to Financial Crisis" (IMF Working Paper No. 02/210). The project was initiated by Mark Allen, Director of the IMF's Policy Development and Review Department, who-along with Juha Kähkönen-provided general direction. The team that drafted this and the previous paper was led by Christoph Rosenberg and included Ioannis Halikias, Brett House, Christian Keller, Jens Nystedt, Alexander Pitt, and Brad Setser. At various stages, the project has benefited from comments by the IMF's Executive Board, management, various departments, and participants in several seminars organized by the European Central Bank, the Bank of England, the Bank of Canada, the IMF Institute, the Asia and Pacific Department, and the Policy Development and Review Department. In particular, the authors would like to acknowledge the contributions of Nouriel Roubini (who coauthored the earlier working paper), as well as