Balancing chip accumulation with survival in the middle stages of a PLO tournament requires adapting to stack sizes, table dynamics, and blind pressure. As blinds increase, maintaining an active approach prevents being blinded out, but reckless aggression can lead to unnecessary bust-outs. Selective aggression, focusing on hands with strong postflop potential, allows for controlled risk-taking. Recognizing ICM implications and adjusting play based on opponent tendencies help in picking optimal spots for aggression.