Business transformation involves fundamentally changing what an organization does, how it operates, who it serves, and how it serves them. It requires accepting periods of discontinuity and working without easy answers. True transformation is not just small changes or process tweaks but large-scale changes. Effective transformation requires assessing the need for change, planning the change, implementing projects to enable it, and embedding the changes into normal operations. It also requires developing the organizational capabilities needed, including change management, program management, and project management frameworks, as well as the skills of employees.