This document discusses the importance of design and innovation in developing new dimensions and business models. It outlines an iterative design process that involves early prototyping and user feedback to develop deep user understanding. Case studies are presented of how design was used at Target Pharma to improve prescription bottles, at Boeing to transform their workplace culture, and at Pfizer to reframe communication around Viagra to increase patient-doctor dialogue. The process involves understanding user activity, multi-prototyping with feedback, and considering use in broader contexts to drive breakthrough innovation.