This document discusses change management and why initiatives often fail. It notes that 2/3 of change initiatives and 70% of reengineering efforts fail. It identifies that organizations are living organisms and change is an ongoing process, not a single event. Even with buy-in, these initiatives rarely succeed due to various limits including lack of time, help, relevance, leadership, assessment and more. The document provides tips for overcoming these limits such as communicating relevance, building trust, allowing time for growth, involving outside perspectives, and customizing change processes. It emphasizes that organizational growth requires ongoing change management.