The impact of privatization on emerging and even advanced economies cannot be understated. What happens when private for-profit entities are tasked with the provision of public services in which quality of service, not profit, is expected to rule the day? Should quality of service be compromised when profits are on the line and shareholders stand to lose the money they have invested in good faith? Is it possible to effectively serve these seemingly conflicting interests? Perhaps. Much is possible with careful and creative approaches to governance--and a healthy dose of ethical business conduct. This is the story lessons learned the hard way--and how synergies may be found in the midst of conflict.