Leadership requires followership, and followers today have more power than in the past. Changing organizational structures have given followers more decision-making responsibility through matrix structures with multiple reporting lines. Followers interact directly with customers and have technical expertise that gives them influence. To be effective leaders, one must listen to followers, understand their motivations, provide training and opportunities for growth, and share knowledge rather than hoard power. As generations change, so too must leadership styles to accommodate the needs of knowledgeable and skilled followers.