We have discussed a lot of issues in this book and our approach to sustainability would necessitate considerable change to business strategy and operations and even to business planning. The implications may even imply changes to business structure. These changes are significant and will not happen without some planning – essentially we are advocating a change from one paradigm to another. We are, therefore, devoting this penultimate chapter to a consideration of the practicalities of such change and the implications of such radical organisational change.