In today's rapidly changing business environment, no organization or business is safe enough from competition. Therefore, organizations must operate in uncertain, hyper-dynamic, competitive, and changeable environments. In the medical field the organization has an ethical obligation toward patients to provide them with the best practice available for the medical condition in the same time as an organization it should seek improvement in performance to meet this difficult equation the organization must have agility in running its operation together with visionary leadership and benefit the most from its competitive capabilities. Strategic agility is the key to the success of organizations in a business environment that is changing rapidly. It enables the organization to achieve many of its strategic goals efficiently and effectively, and also helps to improve the organization's competitive position. This study was performed on 413 persons in the medical field within different sectors, and qualifications ranging from doctors, pharmacists, dentists and head nurses in the form of questionnaire to assess the effect of organizational agility on organizational performance considering the mediating effect of both visionary leadership and the operational competitive capabilities, the results of the study shows Networking and customer satisfaction drive organizational agility and performance, Visionary Leadership plays a pivotal role in shaping capabilities and satisfaction outcomes, Operational Competitive Capabilities (particularly Networking and Adaptive Capabilities) serve as key mediators.
Conclusion: This research highlights the critical interplay between Organizational Agility, Leadership, and Operational Competitive Capabilities in achieving superior Organizational Performance. By integrating leadership and capability development into agility frameworks, organizations can thrive in uncertain and dynamic environments. The findings also emphasize the importance of balancing agility dimensions to avoid counterproductive outcomes, These findings highlight the nuanced interplay of agility, leadership, and organizational strategies in driving competitive advantage and performance.