Change is not a stranger to the profession of physical therapy. It has been a major element of our agenda since the initial development of our professional organization, the American Physical Therapy Association, in 1921. Too frequently, however, we evidence great acuity in identifying necessary change goals but fail to give sufficient attention to the engineering aspects of implementation (ie, planning, selecting, organizing, and implementing strategies designed to bring about the desired change in a systematic and organized fashion). This address will not focus on “change goals” or issues per se. It would appear that we are very much aware of those goals and issues as debated in the House of Delegates and as published in the various communication media of the Association.