This document discusses design at startups from the perspective of Jan Miksovsky, Co-Founder and VP of User Experience at Cozi. It provides advice on finding a great designer who focuses on users, iterates frequently based on user feedback, and ships designs rather than doing endless research. It also notes that design requires trust from founders and executives and is not enough on its own - a good design also needs funding, management, engineering, distribution, business model, hard work, and luck to make a meaningful impact.