This informative book provides key insights into the successes of mid-sized cities across the globe, as well as the threats they face. It examines the strategies they employ to establish a unique position and compete effectively within the international urban hierarchy.Contributors explore various experiences, challenges and strategic approaches that define and distinguish mid-sized cities from their larger and smaller counterparts. They evaluate the distinct problems they face, including poor local leadership, out-migration and a lack of local interest, as well as broader issues such as climate change and historical sedimentation. Chapters outline the ways in which these cities can combat deterioration and enhance or regain their competitive advantage, namely by taking charge of their development following a crisis, or even by accepting their ‘shrinking’ status. Ultimately, this book highlights the struggle faced by mid-sized cities to retain their place at the core of the national economy.Mid-sized Cities and Regions in Global Competition is a valuable resource for scholars and students of urban and regional economics, particularly those interested in the distinctive and pressing issues faced by mid-sized cities.