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Ghana recently attained middle income economic status, boosted mainly by the discovery of oil and its production in commercial quantities. This find has attracted major investment leading to rapid growth in trade. However, with inadequate and sometimes an inefficient infrastructural base, companies are limited in the delivery of quality service they should be offering. Similarly, as more people have disposable incomes and improved livelihoods, the average customer is sophisticated and so demands value for money in terms of better quality of products and services. This puts pressure on both businesses and their supply chain networks to perform and meet expectations. Will businesses refocus and prioritise SCM as a major determinant of competitive edge or will they continue relying on their traditional sources of market dominance? This book seeks to explore these questions through a sample of businesses in the capital city, Accra. The analysis should be useful for academic knowledgeand references and businesses in their strategy formulation.