Globally, humanitarian needs and risks continue to increase. Humanitarian crises have become larger in scale and more complex in nature, driven by the convergence of conflict and state fragility, climate change, forced migration, disease outbreaks, among other factors. Ironically, as needs of the most vulnerable are increasing, resources to meet them are shrinking – political and financial support for humanitarianism, development assistance, global health, and multilateralism are declining rapidly. In this context, humanitarians are being compelled to reflect deeply, prioritize aggressively, and review the mechanisms by which they structure and deliver aid. This presentation will review the evolving humanitarian landscape, the political and operational obstacles to delivering assistance, and the proposed reforms to make humanitarian assistance more fit-for purpose in today’s complex environment.