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In this paper, we examine the role of reflective talk in how routines change. We argue that talk enables routine participants to collectively reflect on the routine and work out new ways of enacting it. Drawing on a year-long ethnographic study of a start-up company in the pharmaceutical industry, we show that talk supports the enactment of collective reflection by enabling the participants to (1) name and situate the issue to be discussed with regard to the performative and ostensive aspects of the routine, (2) jointly envisage and explore alternative ways of enacting the routine, and (3) evaluate and question these suggestions from different angles. We examine how these aspects of reflective talk play out in different types of routine change and how the progressive unfolding of the talk reveals distinct opportunities for routine change. With our findings, we shed light on the role of collective reflection in routine change, on variation and selective retention in routine change, and on how organizational members balance the need for consistency and change in the enactment of routines.