In this chapter, we outline the importance and complexity of integrated care governance, by positioning it in the total spectrum of integrated care. Dealing with these complexities is on the one hand daily practice in many countries; on the other hand, we do need more knowledge about what approaches work in what circumstances and why. Integrated care needs suitable governance to sustain and develop further in context. To support leaders, policymakers, and practitioners, we illustrate in this chapter possible approaches and action points, some examples, and we raise new questions for future research and practice.