Stryker is the story of how CEO John Brown built his company into a market leader using a simple strategy of growing earnings 20% a year. The strategy was supported by the values statement: "do not lie, cheat, or steal to do it." Stryker had an internal high-performance environment grown primarily through organic growth and by adding technology through small acquisitions. This case confronts Brown's succession and the issue of whether Stryker's 20% growth rule remains viable or whether it is starting to drive bad behavior.