This document discusses next steps for piloting self-directed support. It begins by posing big questions about how to enact meaningful change within resistance to flexibility, where to begin change efforts, the goals of self-directed support, and how to change attitudes. It then discusses taking a permanent piloting approach through various pilots focused on social workers, service providers, deinstitutionalization, family support, school transitions, transforming day centers, and system design. Examples are provided and building research into pilots is emphasized. Key questions for culture change are also listed.