Many civil society organisations (CSOs) lack governance structures and systems to support effective leadership transitions. Evidence indicates that a few organisations have plans in place to help manage leadership transition processes. This has led to a situation where organisations have been left in turmoil when founding executive directors leave. This report is an analysis of the governance structures and leadership transitions in select CSOs in Ghana. It is based on evidence from fieldwork carried out in Ghana involving fifteen research participants; ten of whom have been leaders of civil society organisations or currently serve as executive directors. The study explored governance structures, systems and processes within CSOs in Ghana and how leadership transitions and successions are managed in these organisations. The research also analysed the implications of succession planning for CSOs' sustainability and proffers measures for strengthening governance and healthy leadership transitions.