It is present in every organisation, but if it spreads uncontrollably, it will make you less efficient, less effective and less scalable. On the other hand: Believing that you can create and lead an organisation completely without it is naive. It is there. And it has to be managed.
Size is often confused with complexity. “We have grown so big that it has become really complex”. Not so. We all want size – if it is value generating in terms of profits or other metrics. And “bigger” does not need to be more complex than “smaller”. It’s just bigger. Period. It only becomes complex if we don’t manage it.