The medium-term expenditure framework and sectorwide approaches are two new approaches to development cooperation that focus on donor-government partnership in the budget process. The budget is a crucial instrument for operationalizing the objectives of the Comprehensive Development Framework (CDF) at the country level. How can the principles of partnership be brought to bear in this area? How can a new form of conditionality work in practice? This chapter focuses on the key concerns of achieving a holistic approach to a budget process owned by government, supported in a spirit of partnership, with a strong emphasis on achieving results.