Geopolitics has an important role to play in securing the health of both people and planet. Indeed, businesses cannot be asked to govern the planet’s health if some of the most polluting countries in the world are not on board. Successful governance of planetary health depends on geopolitics and cross border implementation. It also demands that special attention be paid to the interlinkages between businesses, environmental justice and inequalities. All of these are crucial to advance the universal right to a safe, clean, healthy and sustainable environment.