This chapter weaves the ‘golden threads of change,’ together with compassionate leader’s experiences to provide examples and give guidance on achieving positive maternity cultures. Guidance is given on ways to achieve respectful relationships, inclusion, values-based education, developing a coaching mindset, models of care, compassionate leadership, and psychological safety as a means of achieving positive cultures. Vignettes and case studies give examples of how inspirational leaders have achieved culture change in their workplaces. A summary of recommended actions is provided at the end of every section. This chapter gives advice and guidance on what you can do if you, or another member of staff, are currently the subject of disrespectful behaviour. It also provides advice to managers, leaders and individuals who want to change their working culture, whether that is in personal interactions, departmental changes or whole-unit transformational change.