The guest editorial considers that the NTP, while a well-designed one, has been deficient in implementation of the programme, that the blame for this deficiency should go to the general conditions under which the programme has to function and not the programme itself. Therefore, those who wish to improve the functioning of the NTP should direct their attention to improving the GHS. Regarding the TB control programme in urban areas of India, three trends that have emerged are described. Given these trends, it is considered that only a consensual approach based on mutual understanding towards achieving a common goal could bring about the desired change in the programme. A set of interventions to improve the programme are included.