We are running a medium size project distributed across three countries (Norway, Czech Rep. and Sweden) using Distributed SCRUM, with a total of 20+ people in three teams. We learned some lessons on practical issues to look for on the setup, ramp-up, overhead and daily followups which could be quite interesting for other people to learn of. Presentation by Cristiano Sadun (TietoEnator) at Smidig 2007.