The document discusses 5 organizational dysfunctions that can occur during an Agile transformation: 1. Organizational hierarchy with multiple regulatory bodies can cause a traditional structure and lack of trust. 2. A command and control structure leads to a lack of trust in employees and focus on individual accountability over teams. 3. Business and technical teams often work in silos, lacking communication, transparency, and a shared roadmap. 4. Resistance to change can come from individuals, groups, and the entire organization due to a lack of psychological safety and job security. 5. Poor resource management assigns project members to multiple projects simultaneously without prioritization, estimation, or focus on automation.