This article seeks to explain and conceptualise certain aspects of industrial and technological change at the regional level, using the Baltic region as a case. The concept of “new institutions” is applied to understand recent attempts to stimulate organised behaviour, trustrelations and co-operation at the level of low policy. New regional institutions deal with competing pressure groups, but their strength lies mostly in the ability to orchestrate and influence pressure groups in a formative way. The article identifies potential starting points for this regional involvement. It is divided into three parts. First, some of the economic problems and potentials of the Baltic states are scrutinised. Second, some features of new institutions are explored at the theoretical level. Third, some aspects of international policy-making are briefly discussed, especially the concept of low policies and bottom-up approaches.