The Cold War years presented various challenges to the ICRC. Under concerted criticism not only from communist but also from certain western democratic circles, the ICRC staved off unwanted changes in its composition and mandate mainly through its performance in various conflicts – in Palestine and Hungary, for example. It also played its traditional role in helping to further develop international humanitarian law. By the middle of the Cold War, the organization was engaged broadly in complex ways not only in the Global South but also in Europe – not only in “developing areas” but also in Greece and Northern Ireland. There was clearly a need for its traditional roles during the Cold War, even if the ICRC was slow to anticipate some needed changes at headquarters as well as in the field.

Its controversial performance in the conflict in Nigeria during 1967–70 led to important changes in Geneva. There were other opportunities for striking change, as in response to the 1975 Tansley Report on the Re-appraisal of the Red Cross, or at the 1974–77 diplomatic conference that produced two protocols additional to the 1949 Geneva Conventions.