Leadership is essential for success. The CEO of a hospital explained that leadership is key. His leadership had led to a turnaround that has brought the hospital's emergency room wait time from the lowest to the highest quartile. How can we do that? Leaders may feel the following dilemma when overseeing lean transformations: If I am involved it could be interpreted as micromanagement or depriving my employees. Things could get off-track if I do not participate. While there are many important, mission-critical leadership roles in Lean Transformation, they are often not well understood. Establish psychological safety and trust to ensure that people don't punish problems but learn from them. This makes it easier for people to solve problems rather than hide them. Visual management is a way to manage your work. Make sure that your core unit processes are visible for everyone. This will allow them all to learn from each other and adapt. To ensure new habits are formed in your team, create improvement routines that you can do at a steady pace. Establish a line of sight that allows you to see how every level is contributing to the overall organization's goals and priorities. This information should be visible, and re-examined regularly. Instead of depending on the reports or hearsay from your office, go and look around.