The document discusses alternative organizational structures to the traditional hierarchical pyramid structure. It describes Liip, a company with 130 employees and 5 offices that is organized in an agile, self-organized, and non-hierarchical way. Key points of the alternative structure discussed include self-managed teams that are responsible for clients, projects, hiring and developing staff. While autonomy is given, teams still have constraints around monitoring client satisfaction, team morale, and profitability. The document suggests this structure allows for greater employee empowerment, flexibility and meaning in their work.