Gender-based violence in the garment industry is a predictable outcome in an industry where women workers in subordinate, low-wage employment roles are driven to meet demanding production targets for below living wages in order to keep pace with fast fashion trends. Building upon inroads in brand accountability in the Bangladesh Accord model, this chapter makes a case for substantive obligations on apparel brands and retailers through binding, contractually enforceable agreements that are developed and implemented in partnership with workers and their unions. In order to address gendered power relationships that subordinate women garment workers, agreements must not only be worker driven, but should be driven by women garment workers.