Imports by Pakistan include raw jute, crude rubber, oil seeds, cork and chemical materials/products.

Economic cooperation between the two countries is minimal, owing to high freight rates and difficulties in accessing landlocked Bhutan.

[11] In November 2004, Pakistani Prime Minister Shaukat Aziz headed an official delegation to Bhutan, which raised suspicions in their common neighbour, India, that Pakistan may attempt to sabotage Indian interests in Bhutan.

[1] In March 2011, the Bhutanese Prime Minister Lyonchen Jigme Yoser Thinley led a three-day delegation to Pakistan and met with Pakistani Prime Minister Syed Yusuf Raza Gilani.

They covered a range of bilateral issues including economic, commercial, investment, educational and cultural links.

[7][12] In June 2012, a delegation of Buddhist monks from Bhutan, travelling with the ambassador, was warmly received by Pakistan's Minister of State for Foreign Affairs, who emphasized the need for personal and interfaith contact between the countries.