Against the backdrop of Canada-US relations since the Free Trade Agreement, this paper argues that with the gains of the Canada-US Free Trade Agreement and the NAFTA realized, creating new jobs and sustained growth will require boldness and initiative. It will oblige in-tandem progress on a common security perimeter, a rationalized regulatory regime that reduces red tape and a compatible approach to the stewardship and development of resources. The paper lays out a plan for action on 'getting it done' and offers ten lessons based on practical experience of working in Washington and throughout the US.