Launching a new product is an inherently complex endeavour. It requires planning, alignment and execution across multiple organisational boundaries, including between different functions, the centre, regions and local affiliates. These internal challenges are compounded by the diverse, external challenges within the environment a new product is launched into. It is precisely this complexity which makes it hard to achieve consistency in launch performance and, consequently, why launch excellence proves elusive for most: Our extensive IQVIA Launch Excellence research has confirmed over many years that fewer than 10% of all launches achieve this much coveted title across more than one country.