The document discusses reasons why organizational redesigns fail and keys to success. Common failures include not establishing clear goals for the redesign, structuring the organization around specific personnel rather than business needs, causing too much disruption, making side agreements outside the process, skipping assessing the current state, breaking confidentiality, and neglecting change management planning. To succeed, organizations should understand drivers for change, separate design from staffing decisions, minimize disruption, follow an agreed-upon process, conduct a current state assessment, maintain confidentiality during planning, and implement formal communications.