The legal use of medicinal cannabis has expanded in the past ten years. Already, at least 30 countries have legalized the use of the drug for medicinal and therapeutic purposes. This inaugural flagship report styled The Medicinal Cannabis Revolution: Challenges in Banking a Budding Industry in the ECCU was commissioned by the Eastern Caribbean Central Bank in response to the growing global and regional interest in medicinal cannabis. Recent legislative developments in several member countries of the Eastern Caribbean Currency Union (ECCU) attest.