The understanding of the underlying phenomenon of Macau's economic reality is essential to design a suitable strategy to manage its potential long-run effects. In our view, suffering from the Dutch Disease should only represent a serious economic problem to Macau if the territory loses its gaming privileged position. Therefore, we consider that in order to adequately manage the Dutch Disease potential harmful effects priority should be given to applying the gaming tourism revenues in investments that aim the creation of lasting value in this region and contribute to its sustainable development, such as education and health.Index Terms-Dutch disease, foreign currency inflows, gaming tourism, Macau.