The concordance model of cosmology, ΛCDM, provides a satisfactory description of the evolution of the universe and the growth of large scale structure. Despite considerable effort, this model does not at present provide a satisfactory description of small scale structure and the dynamics of bound objects like individual galaxies. In contrast, MOND provides a unique and predictively successful description of galaxy dynamics, but is mute on the subject of cosmology. ... it is far from obvious that the mass spectrum of galaxy clusters or the power spectrum of galaxies can be explained in MOND, two things that ΛCDM does well. Critical outstanding issues are the development of an acceptable relativistic parent theory for MOND, and the reality of the non-baryonic dark matter of ΛCDM. Do suitable dark matter particles exist, or are they a modern aether?