The Framework Convention on Tobacco Control (FCTC) was the first treaty negotiated under the auspices of the World Health Organization (WHO) and the world’s first international health treaty. The process of diplomatic negotiations that led to the FCTC was discussed in the previous volume of case studies in this series.1 This had particular emphasis on the work of the Inter-governmental Negotiating Body (ING) and provided insights into the positions, perspectives and experiences of one of the central actors in it, the government delegation of the United States of America (USA).