This paper elaborates on the implications of the Do No Harm concepts of “Legitimization” and “Substitution”, two of the key Resource Transfers identified by the DNH Program. Aid agencies, by possessing and providing resources in the midst of scarcity, “transfer” power and authority along with food. As they work with local governing authorities they can reinforce (or undermine) the power and authority of those governing authorities. This paper identifies the components of legitimacy (as found by DNH), discusses the process of how legitimization and substitution take place in famines, and ends with three cases that demonstrate that there are always options.