This case study examines Johnson & Johnson's organizational structure and the changes implemented to achieve their strategic goals. It evaluates the effectiveness of these changes, particularly within the pharmaceutical division, which has been a significant driver of the company's growth. The analysis considers the launch of new products, the importance of investing in the right people and capabilities, and the need for R&D centers with new technology and market trends. The study also proposes potential improvements to better align the organizational structure with the company's overall strategy, emphasizing leadership development and talent rotation to foster a growing business environment. The case study concludes by highlighting the importance of adapting to the rapid advancements in technology and addressing unmet medical needs within the healthcare industry.