From April 2006 till December 2011, he worked as a Senior Adviser of the European Bank for Reconstruction and Development (EBRD), based in London.

In this role, he was directly involved in the organization of high-level policy dialogues in such post-Soviet countries as Georgia, Armenia, Moldova, Tajikistan, as well as in Mongolia.

In his keynote speech, Otorbaev assured the Parliament that the main goal of the Government of Kyrgyzstan would be to restore the trust in him on the part of the nation and the people.

On 23 April 2015, after an annual report to Parliament on his work as Prime Minister and positive approval of his government's performance, he resigned for political reasons.

He is an honorary member and invited speaker at a few international boards and forums on development and investment and a distinguished professor at several foreign universities.

Particular attention is also paid to the achievements and challenges of the region’s post-Soviet economic and political transformation and its relationship with the participants in the New Great Game.

Michel Camdessus, Former Managing Director of the International Monetary Fund and Former Governor of the Bank of France, wrote the foreword for the book.