The article reveals the problems of implementing organizational changes in the management of foreign trade companies in the context of changing sales markets. The article focuses on the fact that today’s realities orient foreign trade companies to implement new methods of distributing responsibility and authority among employees within the framework of certain activities that have undergone changes. The authors of the study propose a comprehensive approach to the introduction of innovations in business processes through an assessment of all levels of organization management. The article presents organizational pathologies that can occur at different levels of implementation of changes in companies engaged in foreign trade activities, and also suggests an algorithm for working with them when the sales market changes. The authors note that Russian companies will have the highest level of adaptation to non-standard environmental conditions, only with careful study of all levels of change management through certain criteria and setting management tasks when adjusting to the selected sales market. It is determined that when transforming business processes in modern conditions, the company must have a certain strategic maturity to enter a new market on the basis of the presented management principles of the company’s activities.