This document discusses strategies for growing a distributed product owner team at Siemens for their medical software development. It describes how the product owner team is distributed across multiple sites to be close to feature teams. Growing the team requires selecting people with the right skills and knowledge, investing in closing knowledge gaps, and facilitating communication through regular virtual and in-person meetings. Maintaining connections with customers also requires travel to events and customer sites. While challenging, distributing the product owner team can work with the right approaches for communication, collaboration, and skills development.