The medical device industry is moving toward agile development and the cultural changes that come with it. Learning from cloud services development, "being agile" seems to be just the first step. Let's call it the basement of a powerful building. How Agile could be thought through to DevOps in a medical company is told by the Global Head Sensing & Control at Roche Diabetes Care. This presentation was originally given at the Vector Software Testing Symposium 2021.