COOs play a critical role in organisations. They are the major change agents and executors of an organisation's strategic priorities and their remit is wide and varied. The COO's agenda is a complex and challenging one and the burden of decision-making can be intense given the different aspects of their mandate. KPMG runs COO roundtables enabling issues, challenges and solutions to be shared and debated by participants. This insight acts as a window into the minds of current COOs and reflects the mood of these important individuals.