Make Primary is used for Parent Accounts only. This operation makes the selected Account the Primary Parent for the Account in focus.
How can the Make Primary option be hidden in CRM for iPad Account Hierarchy?
The Make Primary option in Account Hierarchy appears in iRep only if there is Create permission on Child_Account_vod_c and if Account.Primary_Parent_vod can be modified (edited).
To hide Make Primary, assign Create permission on the Child Account and set Account.Primary_Parent_vod as Read Only.
CRM documentation: Account Hierarchy
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