The nations of the Middle East and North Africa are in the midst of a historic transition. While the people of Egypt and Tunisia have taken unprecedented steps toward democratic self-governance, reform movements across the region are encountering varying degrees of resistance from governments fearful of change. The gravity and uncertainty of this moment demands that U.S. policymakers reevaluate foreign policy goals and strategies for the region, with particular attention to how foreign assistance can deliver maximum impact in are source-constrained environment.