This book argues that mainstream economics cannot explain the underdevelopment and poverty of Nepal, neither can it be explained in terms of economics alone nor capital inadequacy even, as is conventionally believed. The author asserts that Nepal's underdevelopment needs to be located in the nature of the state which has been shaped by the collusion of interest among politicians and the resulting bureaucracy, triggering the growth of crony capitalism. The book presents a critical and radical analysis of factors that have kept Nepal in a state of underdevelopment and poverty, with huge section of the society in underprivileged and deprived socio-economic conditions, despite six decades of planning, seven decades of dependence on foreign aid, and numerous political regime changes, from the Rana regime for over a century from 1846-1950 through to the republic regime from 2007 onwards. To support this argument, the book delves into an exploration of growth performance in Nepal, government attempts at poverty alleviation, foreign aid and its effects in the economy and the nature of the state, with a focus on Maoists' 10-year rebellion. Each chapter presents the existing picture and examines the possible reasons for the failure in achieving the desired results. A comparative analysis of Nepal's position with respect to South Asian Association for Regional Cooperation (SAARC) countries is also presented in a number of chapters. The audience for the book will be students, academics and researchers, and within Nepal itself, intellectuals, politicians, and officials of the National Planning Commission, the central bank and other banks and financial institutions.