Small and Medium Enterprises are the Pillar of Pakistan economy. There are 3.2 million SMEs operating in Pakistan. Small and Medium Enterprises have to face a lot of problems regarding their growth. For the growth of SMEs, first of all the problems faced by them have to be pinpointed and then strategies have to be formulated, so that this sector can boost up. Literature provides some deep insight regarding the problems and growth determinants of SMEs. Then some methods were chosen by the researcher to explore the growth factors. The growth factors were separately analyzed to arrive at a conclusion. Quality improvements of the products is the first and foremost growth factor for SMEs. This book provides interesting information regarding SMEs, problems faced by them, major growth factors, and finally recommended strategies. The entrepreneurs can use this book as a helpful guide for fruitful benefits.