This book equips the leaders of SME (Small and Medium Enterprise) businesses to effectively use new product development as a strategy to improve the competitiveness of their businesses. The US Government defines an SME as a company with 500 employees or less. Although this is a very large range, the research that forms the basis of this book is applicable for companies of 25 to 500 employees (or appropriately sized divisions of larger corporations). The genesis of this book was my assignment as corporate-wide new product development director for an SME. I simultaneously pursued a doctorate in business at Pace University with a focus on organizational innovation. I combined these two perspectives into case study research into how to improve the performance of new product development at SME businesses. The research results were presented at the 2017 Conference of the American Society of Engineering Management. This book builds on this research to present a practical blueprint for SME leadership.