By the end of the American War in Vietnam, the coastal province of PhU YEn was one of the least-secure provinces in the Republic of Vietnam. It was also a prominent target of the American strategy of pacification-an effort, purportedly separate and distinct from conventional warfare, to win the "hearts and minds" of the Vietnamese. In Robert J. Thompson III's analysis, the consistent, and consistently unsuccessful, struggle to place PhU YEn under Saigon's banner makes the province particularly fertile ground for studying how the Americans advanced pacification and why this effort ultimately failed.

In March 1970 a disastrous military engagement began in PhU YEn, revealing the enemy's continued presence after more than three years of pacification. Clear, Hold, and Destroy provides a fresh perspective on the war across multiple levels, from those making and implementing policy to those affected by it. Most pointedly, Thompson contends that pacification, far from existing apart from conventional warfare, actually depended on conventional military forces for its application. His study reaches back into PhU YEn's storied history with pacification before and during the French colonial period, then focuses on the province from the onset of the American war in 1965 to its conclusion in 1975.

A sharply focused, fine-grained analysis of one critical province during the Vietnam War, Thompson's work demonstrates how pacification is better understood as the foundation of U.S. fighting in Vietnam.