The recent transfer of Sierra Leone’s sanitation mandate from the Ministry of Health to the Ministry of Water Resources and Sanitation is a bold policy shift that reflects the government’s commitment to strengthening WASH governance. However, such a fundamental change in institutional responsibility must be guided by deliberate planning, inclusive engagement, and a clear operational roadmap. As stakeholders across government, civil society, and development partners observe this transition, it is vital to ask: Are we asking the right questions?