This leadership dialogue will reflect on the urgent need for actions to achieve a healthy planet and prosperity of all, where aspirations and rights can be fulfilled. It will focus on the need to live in harmony with nature for development, gender, intra and intergenerational equity, and human wellbeing. This background paper for Leadership Dialogue 1: Reflecting on the urgent need for actions to achieve a healthy planet and prosperity of all, provides context to the dialogue. It also offers a set of questions to explore pathways – of regeneration, recovery, rebalance, renewal and reimagine – transforming commitments to action. It will focus on the urgency of such actions to achieve a healthy planet for all – for health, for equity, for rights, for job opportunities, for development now and in the future, and for all life on earth.