This ISSER policy brief highlights technological and organisational transformations occurring in the rice milling segment in Ghana. It is based on surveys conducted with rice millers in the greater Accra and Volta regions in 2022. The results demonstrate that technological upgrading is occurring, particularly after 2010, and that there is increasing vertical coordination among the value chain actors. The authors highlight the factors that have contributed to these changes, as well as the key challenges that remain, and provide key recommendations as a result.