Ghana’s economic discussion frequently focuses on micro and small enterprises, yet consistently neglects medium-sized businesses—a critical "missing middle." This oversight represents a significant policy gap, potentially hindering broader economic development. While acknowledging the importance of micro-entrepreneurs and small business owners, policymakers fail to adequately address the unique needs and challenges of medium enterprises. This lack of attention means a vital segment contributing to job creation and economic growth isn’t fully supported. Recognizing and serving this “missing middle” is crucial for a more balanced and robust MSME sector. Addressing this blind spot is essential for unlocking Ghana’s full economic potential and fostering sustainable growth.