This document discusses Scrum and Kanban as tools for organizing knowledge work. It considers applicability based on starting point and achieving sustainable change. Scrum may be best to start as it has defined roles, artifacts, and events, while Kanban uses foundational principles and general practices. Lastly, sustainable change depends more on cultural factors like openness, courage, respect, focus, and commitment than the specific tool. Deeper examination of organizational culture is needed to affect real change.