The document discusses the challenges of power integrity (PI) as integrated circuit scales continue to shrink. PI degradation increases significantly with each generation, putting a "PI wall" that limits further scaling. Traditional PI analysis is not truly physical and can be overly pessimistic. New differential modeling, continuum analysis, and active noise regulation techniques are needed to manage PI in future nodes. Fundamental methods like on-die capacitance distribution and power grid design, as well as innovation in regulation and integration, are opportunities to overcome the PI wall.