The Copenhagen metropolitan region accounts for nearly half of Denmark's national output and plays a key role for the country as a whole.  Nevertheless, it has witnessed only modest economic growth over the last decade. This review of metropolitan area policy for Copenhagen examines key challenges including modest economic growth, scarcity of skilled workers and barriers to research and development. The report also examines how public institutions affect regional economic growth. Issues considered include: inter-municipal co-operation, local finance, public management, political leadership, and coordination mechanisms between the central government and the region.