This paper is offered as my personal reflections for future directions of International Physicians for the Prevention of Nuclear War. The deep discussions that surrounded the war in Kosovo and Serbia have led me to examine some of the issues that confront IPPNW today in a different light. Rather than cataloguing all the work of IPPNW and the future steps in each, I focus on areas where we have a new opportunity, a new challenge, or a difficult decision to make in choosing a strategic direction for IPPNW. After a brief summary of our history and principles, I address the new challenges within IPPNW's triangle of concern ‐ disarmament, environment and development. I then outline a series of strategies that have been proposed to advance our goals. Finally, I raise other issues that seem to warrant further discussion and policy development.
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