This chapter covers effective implementation of risk management activities. Appropriate company structures and processes for performing risk management should be established, as well as multidisciplinary teams for specific drugs. Besides managing risks during the clinical development phase, the main tasks prior to product approval are developing RMP documents, their associated post-launch pharmacovigilance and risk minimisation activities, as well as detailed implementation and evaluation plans. PV activities are best planned at a centralised level, since they are usually implemented consistently across different countries and contribute safety information that is relevant globally. Additional risk minimisation is more complex, because a core risk minimisation programme often also requires significant customisation at the national level to reflect market differences. Risk management is an iterative process with ongoing activities for a product including updates to RMPs as well as evaluation of their effectiveness.