This document discusses the role of designers in startups. It notes that successful startups integrate design across areas, are user-centric, have dedicated design teams, and involve designers in executive-level roles. Design is becoming a key differentiator for companies. The document provides tips for designers in startups, such as prioritizing work, acting as generalists, conducting user research, creating processes, communicating effectively, documenting work, networking, and proving the ROI of design work. Founders are advised to be involved in design decisions, build diverse teams, hire the right designer types, and understand that everyone contributes to design.