Abstract: In this chapter, the authors consider Professor Rochelle Dreyfuss’ thoughtful observations on the multilateral intellectual property system in light of their own experience in Geneva negotiations. The chapter discusses the structural advantages of WIPO over WTO for the negotiation of intellectual property issues, the practical differences in capacity among different national delegations, and the importance of recognizing that developing countries may make trade-offs between intellectual property norms and other market access issues that are difficult for legal scholars to judge from a distance.