Pakistan is one of the world’s top producers of narcotics. Pakistan neighbors Afghanistan, the world’s top producer of opium. Pakistan faces a task of controlling, cultivating, producing and trafficking narcotics within its territory (World Drug Report, 2005). Riddled with corruption, poverty, high unemployment rate amongst its population, the government of Pakistan has invested much resource in the fight to the social vice inflicting its population (Niazi et al, 2009). This paper seeks to identify and analyze the measures the Pakistan government has been implementing in curbing the problem. Strategies implemented by the government of Pakistan such as supply reduction by eradicating cultivation of opium poppy, reducing the demand through mass awareness campaigns, and cooperation with the international community in the fight against drugs. The effectiveness and challenges faced in the process have also been well analyzed, revealing whether any advancement is being made or not. Various agencies and departments put in place by the Pakistan’s’ government have also been reviewed, together with their responsibilities. The causes of such extensive abuse of narcotics in a society are reviewed, revealing in a way the susceptibility of Pakistan as a country to narcotics (Drug Abuse Control Master Plan, 2008). The usefulness of the information contained in this paper cannot be overemphasized. Governments facing a similar problem, or willing to install preventive mechanisms can benefit a lot from the information herein. The various agencies involved in narcotics control within Pakistan can also benefit from the information by getting an outsiders viewpoint of the conditions influencing Pakistan’s case. The paper information is based on empirical data collected by various agencies in relation to abuse of narcotics in the world and specifically in Pakistan, and its neighbor Afghanistan. In conclusion, a review of the whole Pakistan case in regard to narcotics production, abuse, and trafficking has been done. Recommendations and improvements, and corrective measures to identified weaknesses have been presented for consideration.