This document summarizes the key findings of PwC's 4th Global PPM Survey. The survey found that familiar issues with program/project delivery are still not being addressed. It identifies 5 themes for organizations to focus on: 1) optimize their portfolio to maximize returns, 2) be flexible and change faster, 3) enable people to deliver success, 4) connect executive teams to delivery teams, and 5) measure and address facts to maintain direction. While benefits are often set, they are not always realized. The survey illustrates there is often a disconnect between executive teams and program managers. To be successful, organizations need to understand strategy and adapt delivery to meet changing needs.