We examine paradox in innovating organizations and their ability to deal with the ensuing paradoxical tensions. Paradoxes are defined as contradictory yet interrelated organizational elements that exist simultaneously where the resulting tension persists overtime. With the aim of increasing understanding of what constitute paradoxes, this paper provides a conceptual framework from which paradoxical tensions can be approached and managed. Specifically, this paper conceptually maps a way to achieve a synthesis of paradoxical tensions via design thinking. Synthesis is said to occur when competing demands are simultaneously fulfilled and in their full strength. More so, synthesis is construed to constitute two options to choose from, but constructing a third. In this paper, design thinking - as a management concept - is operationalized in terms of the interplay between perspective, structure, process, and mindset and it provides an alternative of how paradoxes in innovating organizations can be approached, and the resulting tensions managed.