This document discusses the top 5 problems with distributed agile teams and how to solve them. The top 5 problems are: 1) Teams are in the dark without proper communication. 2) Cultural differences create misunderstandings. 3) Priorities can differ between global and local teams. 4) Communication breaks down over long distances. 5) It's difficult to understand what other teams are working on without transparency. The document recommends giving teams more autonomy through self-organization, promoting empathy, providing engaged product owners, using tools like asynchronous chat and video, and allocating budgets for travel and training to facilitate collaboration across sites.