In Five Ghanaian Presidents and China, Lloyd Amoah tackles China’s meteoric rise to global prominence and what this means for African countries including Ghana. Focusing on Ghana’s relations with China over the last sixty years, the work discusses and interrogates how generations of Ghana’s leaders, from Kwame Nkrumah to Akufo-Addo, have approached the China question since the 1950s.Combining archival data, policy information, interviews and conversations with former Ghanaian presidents, scholars and high state officials, with the sounds and sights from his long years of travel through China and intimate observation of Ghanaian policy formation processes, Amoah, finds that ultimately Ghana’s engagement with China is a matter of strategy. In this work the case is made that descriptions of China’s engagement with Africa as “neo-colonial” are both alarmist and simplistic. Five Ghanaian Presidents offers a far more nuanced account and shines some light on how African and other countries in the Global South can exploit China’s tectonic reshaping of global trade, technology, diplomacy, finance, politics, business and economics.