Lean IT aims to align IT with business goals and maximize value through eliminating waste. It applies Lean principles from manufacturing including identifying value from the customer perspective, focusing on flow and pull, and continuously improving processes. While traditional IT focuses on projects and outputs, Lean IT emphasizes optimizing outcomes and experiences through integrating IT and business operations. This helps break down silos and ensures IT supports strategic objectives. The challenges are recognizing information waste and changing mindsets, but tools from ITIL, Agile development, and Lean project management can guide operational excellence.