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The PRINCE2 pre-course video discusses the importance of managing change in project management. It acknowledges that despite careful planning, changes are likely to occur due to factors such as customer decisions, supplier challenges, and unforeseen circumstances. To address this, PRINCE2 outlines a change theme that provides a structured approach to managing these changes. It emphasizes that while this framework offers guidance, teams are encouraged to adapt their own processes if they are effective. The video highlights that change predominantly happens during project delivery, making it crucial to have a strategy in place to manage it effectively.