Introduction Global health governance (GHG) is an increasingly signifi cant area of focus within the fi elds of global health and international relations. Though the literature and discourse on GHG has expanded, to date there has been little work examining the perspectives and roles of Asian countries and GHG (see, e.g., Stevenson and Cooper, 2009). Analyzing Asian perspectives and participation in GHG represents a diffi cult task because of Asia’s political, economic and cultural complexity as well as the quantity and diversity of problems addressed through GHG mechanisms. This chapter analyzes Asian countries’ conceptions of and contributions to GHG. My analysis attempts to provide a framework for thinking about the Asian approach to and impact on GHG, which hopefully will contribute to more sophisticated conceptual and empirical work on Asia and GHG.