The document discusses evolution of integration patterns during cloud transformations. It describes how traditional on-premise integration patterns need to adapt when applications and data are deployed in public, private or hybrid cloud environments. Some key challenges addressed include dealing with decentralized cloud services, security issues with exposing systems to the internet, and transforming messaging patterns to use cloud-native services. The document advocates an approach of first re-hosting existing integrations in a cloud-native way to decouple dependencies before further refactoring patterns based on a multi-cloud strategy and API-led architecture principles.