This report presents the proceeding of a symposium on growth-oriented adjustment programs that was organized jointly by the International Monetary Fund and the World Bank and held in Washington on February 25-27, 1987. The purpose of this symposium was to review the design of, and scrutinize the economic rationale behind adjustment programs supported by the Bank and the Fund, and to examine how best to help developing countries achieve balance of payments stability with sustainable economic growth. The report includes opening remarks from then Bank President, Barber Conable and Fund Managing Director, Michel Camdessus, as well as written proceedings from all sessions presented. Session topics included: World Bank programs for Adjustment and Growth; Adjustment and Economic Growth - their fundamental complementarity; Economic Stabilization and Structural Adjustment - the case of Turkey; Economic Growth and Economic Policy; Adjustment in Latin America, 1981-86; Outward Orientation - trade issues; Trade and Exchange Rate Policies in Growth-Oriented Adjustment Programs; Agricultural Structural Policies; Growth-Oriented Adjustment Programs - fiscal policy issues; The Role of External Private Capital Flows; Official Financing and Growth-Oriented Structural Adjustment; and a Round Table Discussion.