You have built something that works. A small pilot in one community has shown real, measurable improvement in people’s lives. Now the tricky question arrives: how do you take that success and make it bigger—not just a little bigger, but big enough to shift the underlying problem itself? That is what this chapter is about. We will explore how to grow your impact thoughtfully, avoid the traps that cause many good initiatives to stumble, and ultimately move from fixing symptoms to transforming the systems that create those symptoms in the first place.