Many established churches in North America are struggling. But the obituaries are premature. Struggling churches can make a difference again. Many churches have several obstacles in front of them slowing growth and preventing health. While every church is a unique congregation in a specific local context, patterns present in one established church are often present in another. Rainer identifies these obstacles and reveals how churches can successfully overcome them. God does not give up on these congregations. Despite the obvious obstacles, we should not give up on them either.