The document discusses how an organization can adopt Agile practices while still operating within a largely Waterfall structure. It describes how the organization was able to increase delivery efficiency by 150% and grow their Agile teams eleven-fold by taking an iterative "Wagile" approach. This involved starting with a small initial project using Agile methods and business analysts, then expanding the team and engagement with users, experience designers, and technology partners in subsequent iterations to refine solutions and gain insights. The conclusion is that Agile can be worked into a Waterfall organization, but it requires doing so incrementally and iteratively over time.