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This paper attempts to understand the dynamics of United States aid assistance to Pakistan in the light of post 9/11 security developments in the world. The analysis of US foreign policy aid instruments generally indicates three broad objectives: strategic/politico-security benefits, economic interests and humanitarian concerns. Although one consistently recurring theme in US foreign policy aid provision, both in the Cold War period and the newer post 2001 'War on Terror' period has been security. This theme has also defined US-Pakistan aid relationship in different times, with the exception of Bush administration, who unlike the Cold War period made an alteration by specifying funds for purpose-based usage in sub-fields. This paper argues that Bush administration sought to achieve US foreign policy objectives by providing strategic aid to Pakistan much at the expense of domestic public opinion. It further stresses that change in administration in the US brought obstacles in aid flows to Pakistan as President Obama not only reduced the amount of aid under specific heads, but also openly accused Pakistan of fomenting the militants (the good Taliban), which in turn hurt the US broader strategic goals in the region and raised irreconcilable issues of trust between the two countries. The new administration of Trump went a step ahead by suspending many of the aid programmes to Pakistan, bringing the all-time trust-deficit between the two countries to an all-time low. This paper primarily applies the realist and neo-realist theoretical framework to understand the aid and security relationship paradigm between the US and Pakistan. [ABSTRACT FROM AUTHOR]