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This chapter draws out lessons regarding how the diagnosis of urgent problems, the formation of ambitious and visionary goals, and the participation of stakeholders with critical innovation assets stimulate the cocreation of innovative solutions that promote the SDGs (Sustainable Development Goals), and how changemakers can lead and manage cocreated innovation processes. It considers the initiation of innovation processes and the design and testing of innovative solutions as well as the upscaling and diffusion of new successful products, processes and organizational forms. Finally, it identifies several common pitfalls that are important for changemakers to avoid, including an assumption of the necessity for heroic leadership, failure to include relevant actors, overly strict and detailed plans and procedures, and inability to integrate newcomers.