This paper presents an approach for manufacturing startup companies to reconfigure their organization and processes as a consequence of changing preconditions. Startup companies can be agile and adapt their organization continuously towards their preconditions and given resources better than established companies. The presented approach comprises three main levers for the configuration: process standardization, form of organization and the strategy for growth. Within the three dimensions the configuration can be done between process effectiveness or efficiency, between organization with specialists or generalist and between fast growth or sustainability in the organization.