To successfully implement Lean Sigma, an organization needs commitment from employees and leadership, an understanding of customer needs, and a willingness to change. The key stages of implementation are to define current operations, measure performance against requirements, innovate to improve productivity and meet requirements, and standardize new improved operations. For greatest benefits, the process must be studied end-to-end using input from those doing the work, stakeholders must be engaged including customers and suppliers, errors and waste must be identified and resolved, and changes implemented through training with continuous improvement.