On 21 February 1991, Ramiz Alia, Chairman of the Presidium of the Albanian People's Assembly and First Secretary of the Party of Labor of Albania, assumed personal control over the government of Albania and announced that he would replace Adil Çarçani and his 23-member cabinet.

[1] Alia promptly appointed Deputy Prime Minister Fatos Nano to lead this new government, who was considered a reformist economist.

[2] Shkëlqim Cani, who served as Deputy Prime Minister alongside Nano, was kept in his position.

On 30 April 1991, Ramiz Alia officially began his term as Albania's first president since 1928.

[3] The primary motivation for the change of cabinet was an attempt by the People's Assembly to bolster morale.