As software delivery becomes more important then so does the discipline for supporting it. ALM is that discipline, providing the structure, tools and practices to enable software to be planned, delivered and maintained. But as software delivery velocity increases, certainty reduces and globalization takes control what of ALM? Has it stepped up? Or is it still a confuse combination of discipline and tools? In this talk Dave West, research director at Forrester Research describes the dirty truth about ALM. He introduces the ideas of Lean ALM, and how the ideas presented in Lean Thinking will help transform ALM in a key transformation component for modern software delivery organizations.