The document discusses why "Agile" approaches can be difficult to implement. It notes that while organizations want the benefits of Agile, the reality is more challenging. True change is difficult and does not stick easily. Some reasons for resistance to change include not understanding the destination, not seeing progress, and not having a clear next step. The document advocates for incremental improvements to dilute pain and make change a habit rather than a one-off project. It also emphasizes starting change with motivation, having a progress meter, communicating learnings, and improving gradually over doing a big transformation.