The document discusses two ignored aspects of agile transitions: structure and culture. It lists symptoms of dysfunction like lack of technical skills, long feature branches, siloed functions, and a failure-averse culture. It then provides practices and growth tools to address these issues, such as educating everyone, using appropriately structured teams like feature teams, empowering teams, transparent definitions of done, and establishing product-wide feedback loops. The key to success in agile transitions is addressing both structure and culture.