For East African countries, taking this opportunity to integrate the currently fragmented cotton—textile—apparel value chain could bring remarkable trade and economic growth to the region. For China, the largest textile and apparel manufacturer in the world, it is an opportunity to both transfer its excess capacity and increase investment into East Africa. Based on field research and case studies on four African and Chinese textile manufacturers in Kenya and Ethiopia, this policy brief highlights several opportunities for both East Africa and China as influenced by AGOA and makes recommendations on public-private collaboration to support this shift.