This issue of GFO is devoted almost entirely to decisions made at the Global Fund board meeting that took place in Geneva on April 21-22. The Fund holds three board meetings per year. This was the tenth such meeting. GFO was present, with observer status. The meeting continued the constructive and cooperative tone that has been the pattern for some time now. Board members ranging from government ministers to activists, and coming in equal number from developed and developing countries, were actively and collectively involved not only in the formal meeting, but in the lengthy back-room negotiations that took place prior to some of the most difficult decisions. The decisions made at the board meeting were rather less profound in their implications than were decisions made at some of the earlier meetings. The board has reached the point where it primarily needs to fine-tune existing policies rather than develop completely new policies. The Global Fund says that it is about to post at its web site the precise wording of all resolutions passed, and that over the coming week or so it will post most of the papers that were used as inputs to the board meeting. These documents can be accessed at www.theglobalfund.org/en/about/board/tenth and www.theglobalfund.org/en/about/board/tenth/boardmeetingdocs. The highlights of the meeting are described in the following articles: