Using insights from previous chapters we consider three issues going forward. First, we unpack varied goals of stigma change and corresponding agendas to achieve them. Second, we describe who is the best advocate for stigma change. Third, we reflect how the experience of SUD stigma is colored by national perspectives. We end viewing the status quo, on one hand, with optimism -- SUD stigma is an injustice to be erased – but nonetheless with the sobering realization that bigotry in general (not just SUD but racism, sexism, and homophobia) are stubborn enemies to beat. Still, as in other civil rights movements, we believe that grassroot anti-stigma programs led by people with lived experience are the best approach for change in the near term.