This document discusses effective delivery strategies for handling predictable and unpredictable project elements. It begins with discussing modern project management trends like agility and shifts in practices. It then covers delivery methodologies like agile, hybrid, and waterfall approaches. Predictable and unpredictable project elements are categorized by product, project, and organization variables. A case study example highlights choosing the right delivery method based on identified challenges and elements. The presentation emphasizes adopting the best approach for an organization's environment.