The document provides 11.5 upgrades that marketing agencies can make to grow their business. It recommends hiring a new team member, committing fully to inbound marketing, and improving marketing strategy deliverables. It also suggests firing the worst client, pulsing engagements more quickly, creating a defined sales process, telling an inspiring story, focusing only on activities that generate leads, raising prices, getting intimate with key metrics, and asking for help from experts. The overall message is that agencies need to make strategic, operations, sales, financial, and process upgrades to drive sustainable growth.