This article explores the International Monetary Fund’s performance through crises ranging from the debt crisis of 1982 to the global financial crisis of 2008. The rise of market fundamentalism in the Fund’s policy prescriptions is analysed and contrasted with its abrogation of market principles in crafting resolutions of crises. Potential reforms to voting rights, culture and perspectives within the Fund are considered, along with what may be required to achieve such vitally needed changes.