This report reviews relevant global and regional experience and develops an applicable framework for MENA countries (i.e., through the PRIME framework). It reviews the costs and impacts of land degradation and how different land management approaches can be used to halt or reverse degradation. It advocates for a regional approach, since the management in any one area may influence the livelihoods in another—through the transboundary nature of land management (e.g., degraded lands can lead to an increase in the frequency or intensity of sand and dust storms, and affecting human health in other areas). Finally, the financing of land restoration needs to create incentives for greater private sector participation, so that it has greater geographical reach and at a scale that makes a difference. The report provides the evidence base for governments and policymakers in developing a regional program on land restoration in MENA, drawing on lessons from Africa and other regions with large-scale efforts.