This document summarizes reflections from the SDinGov 2019 conference on service design in government. It discusses redefining the relationship between citizens and the state through forms and power. It also addresses expanding service design beyond services to networks, communities, systems, and relationships. Speakers discussed starting with community strengths rather than needs, and moving policies within an Overton window. The conference chair closed by asking attendees what they learned, who they met, what they will do differently, and announcing the next SDinGov conference in 2020.