This document discusses the role of institutions in development and the challenges of using foreign aid to improve institutions. It finds that institutions are deeply rooted and usually durable, while aid focuses on short-term projects. There is no evidence that aid can stimulate growth or improve institutions, and some evidence it can harm institutions by creating moral hazard or rent-seeking. Lastly, it argues that building intellectual capital through local scholars and research may provide alternative ideas to potentially enable institutional change over time.