Business leaders have easy access to primers on organizational change; indeed many are bestsellers. In contrast, little is available to nonprofit executives intent on restructuring their organizations. And, while many lessons from the business world are relevant, there are unique aspects of nonprofits' missions and organizational cultures that demand special attention. This report examines the restructuring of three leading workforce development organizations that were seeking to improve performance. Based on their many achievements and the occasional misstep, Fixing a Flat at 65 MPH offers nonprofit managers seven guiding principles addressing the most significant challenges likely to arise during a major reorganization.