Introduction/Preface. Pre-Approval Inspection: A Historical Overview. Recent Trends in Domestic and International Pre-Approval Inspections. The Implications of the Quality Systems, Risk Based Inspections and 21st Century GMPs to Preparing for FDA Pre-Approval Inspections. Preparing for FDA Pre-Approval Inspections Similarities and Differences between Center for Biologics Evaluation and Research (CBER) / Center for Drug Evaluation and Research (CDER) The GMP Risk Assessment, Guidance for Preparing for Pre-Approval Inspections, Traditional and Non-Traditional. The Product Development Drill, the Importance of Good Science, Stability Data, Scale Up, and Validation to Successfully Passing a Pre-Approval Inspection. The History of Development Documents: Guidance for Preparation in Light of Recent Trends. Computer Validation Systems Validation during the Drug Development Process. The Use of Audits during the Drug Development Process to Assure a Successful Pre-Approval Inspection. The Consequence of a Poor Product Development Process and Failing a Pre-Approval Inspection.