MSMEs in North Sumatra face significant sustainability challenges due to market dynamics and resource limitations. This study aims to analyze the adaptation and sustainability of North Sumatran MSMEs using the McKinsey 7S Model approach. Using a qualitative-descriptive method, the research involved in-depth interviews, field observations, and document studies. The sample consisted of 40 MSME actors across Medan, Binjai, and East Kisaran selected via purposive sampling. Data was validated through triangulation and analyzed using a thematic approach based on the seven 7S elements. Findings reveal that while "soft" elements like Shared Values and Style are strong, significant gaps exist in "hard" elements, specifically Systems and Skills, which hinder digital transformation. In conclusion, achieving business sustainability requires aligning all 7S elements. Practical implications suggest that MSMEs must formalize operational systems and enhance digital literacy through structured training to improve long-term competitiveness.
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