In this Chapter, Dr. Elbie is making the old hands nervous with his crazy ideas for reducing set-up. To the non manufacturing reader, these terms may be strange at first but after a while you get the hang of their meaning and how they would apply to your business. When we do the WOW training at non-manufacturing companies, we still go over those areas that we used to think of as unique to manufacturing but really aren't. Set-up is one area that is applicable to a large number of businesses. For example, we used one of the set-up reduction tools to increase the number of surgeries done in a hospital by using these techniques to reduce the time between surgeries in the clean up process. But as Dr. Elbie begins to shake things up, we find in the next few chapters that fun things, and good things, start to happen.