The global economy has plateaued but shows no signs of falling off a cliff in 2019. Assuming no major disruptions, a gradual slowdown seems most likely. Underlying shifts in the economic landscape should not be ignored and will become more visible during 2019 and over the coming decade. Uncertainties about the slowdown are multifold: when, where, and how big? Seven short-term and seven medium-term trends should help businesses identify risks and opportunities and prepare for them.