Change of any kind in an organisation is hard to accomplish. The major strategic curriculum changes that we are discussing are particularly challenging, and there is a great deal to be learnt both from existing research and from experiences within institutions. In this chapter we explore the nature of curriculum change in higher education, drawing on previous research, including in higher education. We use key ideas about organisations and change in order to illuminate some of the many curriculum initiatives that are being undertaken worldwide. We ask how the main issues arose in the institutions that we studied, how the institutions dealt with them, and what happened. We draw conclusions about what helps to make successful change possible and make recommendations. The question of what made successful change possible is diffi cult to answer simply. We begin with an exploration of some of the challenges.