Organizational designs aim to introduce stability and order to a world of change. They are expected to articulate two opposing functions: to organize work as efficiently as possible and to do it in a way that allows the organization to maintain a measure of adaptiveness to a changing world. The twin processes of design and change should thus be integrated and seen as two sides of the same conceptual coin. The goal of this chapter is to discuss how design and change may be articulated to take advantage of one another, so that designs respond to change and change operates as a source of design renewal.