This thesis explores the intersection of State-Business Relationships (SBR) and the green transition, particularly focusing on the perspectives of MedTech companies in the Västra Götaland region, Sweden. It leans on the universal recognition of sustainability goals outlined in the UN Agenda 2030 and the social democratic perspective that emphasizes the importance of collaboration between the State and businesses to achieve these objectives. The transition to greener, more sustainable practices poses both challenges and opportunities for businesses, necessitating collaboration with governmental entities. The study identifies a gap in existing literature, highlighting a need to examine SBR from the perspective of businesses, especially concerning sustainability initiatives. To explore this gap, we construct an analytical framework consisting of three components: business perceptions of political leadership, coordination mechanisms, and transparency in SBR regarding the green transition. Methodologically, the study employs a case study approach and triangulates data from a focus group and semi-structured interviews with MedTech companies in the Västra Götaland Region. The findings suggest varying perceptions among companies regarding the effectiveness of political leadership, the extent of dialogue and coordination mechanisms, and the transparency of regulatory processes. Surprisingly, companies perceive a lack of political leadership from the State concerning green transition. Overall, the study underscores the importance of understanding businesses' perspectives in SBR to foster effective collaboration and drive sustainable development initiatives.