This book results from interviews conducted with higher education leaders in Australia, New Zealand, Canada, the US, and the UK. It gives the reader a deep and personal insight into what leaders faced in transforming their universities through the financial shocks, changes in learning practice, and returns to new ways of working accelerated by the upheaval of the COVID-19 pandemic. The features of the book are a series of reflections about issues faced by leaders, recorded, analysed, and reflected on at the time they happened. These are combined in an overall theoretical framework, also informed by other scholarly work in the field, to allow the reader to understand what has happened to our universities and what they will and must do next. For leaders, staff, students, and employers, the book will give an in-depth context, analysed into a simple agenda, to frame future expectations of the changing world of higher education and its implications for leadership in this and other sectors.