Chapter 8 integrates the adaptive strategies outlined in previous chapters and presents tables that small-handed pianists can use to diagnose and resolve commonly encountered problems. These tables focus on broad categories where obstacles encountered by pianists with small hands can be found—chords, arpeggios, leaps, octaves, broken intervals, legato, and voicing. The tables outline solutions drawn from throughout the book, thus integrating a variety of approaches to each problem. The effectiveness of these tools in a particular context should be evaluated on the basis of sound, comfort, reliability, and ease of execution. Examples from the intermediate and advanced piano literature are used to demonstrate a synthesized approach to problem solving.