Managing the change implications of digital transformation can be extremely challenging for firms as the process occurs in an environment where digital technologies have accelerated the pace of change leading to more disruption, uncertainty and complexity. These challenges are further exacerbated in the case of established firms that are encumbered by legacy systems, firm silos, resistance to change and firm politics. This chapter considers the key issues involved in leading and managing the change implications of digital transformation. It considers the digital transformation contextual change factorsDigital transformationcontextual change factors of scope, speed, preservation, cultural diversity, capability and capacity and highlights how these factors influence each potential digital transformation change path including revolution, evolution and adaptive. The chapter outlines key practices for embedding change in digital transformation including recruitment, retention and skills development; organisational structure change and driving change through leadership.