This chapter assesses where the region stands in the early twenty-first century, as Latin American democracies exhibit a tug of war between executive policies and strong participatory trends, with countries joining multiple yet segmented intergovernmental organizations that have failed to reach institutional integration and express a voice in unison. These tensions have never been as poignant as in the current scenario, as the region faces transnational challenges and dilemmas, exacerbated by the health pandemic and economic contraction.