In the conclusion of this episode on Meyer and Rowan’s “Institutionalized organizations: Formal structure as myth and ceremony,” we review some of the studies that followed and how well the author’s arguments have stood the test of time. We explore contemporary examples that show how conformity to institutionalized rules is necessary for organizations to survive, yet, because they can detract from the organization’s purpose, organizations enact rituals to show that it is adhering to the “rules”, yet in practice they try to shield their core work processes from interruption or intervention.