A CEO who attacks an organization’s problems with the Cut and Fill approach is choosing the most difficult but also the most rewarding approach. This balancing act requires high levels of skill and wisdom. Once you’ve begun implementing this method, expect to take a lot of heat. But the objective is not to make the CEO happy today; it’s to make the CEO and the board and the shareholders happy a year from now. If reasonably good decisions are made, sustainable results will be enormous.