Dora Akunyili describes the eight years she spent serving as the director general (DG) of the National Agency for Food and Drug Administration and Control (NAFDAC). Recounting the circumstances of her appointment, Akunyili highlights the tensions surrounding her ascension to the position. From there, she identifies the major challenges she encountered in trying to fulfill her responsibilities as DG, emphasizing the corruption and conflicts of interest that can impede any attempt to address food and drug related problems. She further talks of the many threats to her personal safety and family she faced in the course of her work, and goes on to provide information about the destruction of NAFDAC facilities by those she was targeting. Akunyili describes how, by gradually winning the bolstering confidence and trust of both the Nigerian people and government, creating extensive awareness about drug counterfeiting, and pursuing the counterfeiters with an unwavering dedication to the cause, she and her colleagues significantly reduced the problems of drug and food control that had had significant repercussions in Nigeria. Akunyili stresses the importance of never compromising one's ideals and "selling out" to the very people one is looking to put behind bars, and concludes by emphasizing the importance of dedicated and honest leadership in the success of any effective institutional reform.