The Russian Federation is creating a plethora of support tools at various levels for small and medium-sized enterprises (SMEs). Each region has its own methods for increasing its share of SMEs. What do these tools look like from a business perspective? Are they having a positive effect? How does business rate this support? Are new institutions really necessary, or should we rather stick to a do not disturb policy? What role does small enterprise play in a regions economic growth? What is the potential for duplication and blind adoption of regional and municipal best practice?