The width of the lanes of our roads in the US determines the width of a semi-trailer, which in turn determines the maximum width of anything that is manufactured in the US that needs to be transported. The underlying structure of a database puts limits on what data can be entered and how it must be formatted. The same goes for conference design. The four most powerful structural elements that govern conferences are the agenda, the layout of the room, the capture and display of information, and how a speaker’s time and presentation is formatted. One or several of these must change if a group wants to experience significant change in the experience and output of a conference.