Public health leaders, as in any field, may have technical or adaptive leadership skills, or both. Many executives are good managers (technical leadership) and yet have an additional set of skills to guide organizations through times of change and challenge. Knowing when and where to use these different leadership skills requires knowledge of their differences and appropriate judgment to use them effectively. This chapter defines the difference between technical and adaptive leadership and the situations associated with each of those sets of skills. It describes the roles of beliefs and values in adaptive change and the attributes of an adaptive leader. The chapter defines the role of community engagement in effecting adaptive change. It helps the reader understand the importance of scientific training for public health leaders and appreciate the importance of two practical skill sets for public health leaders—advocacy and lobbying, as well as disaster and incident management.