Ch-Ch-Changes, or similar, may refer to:
"Ch-Ch-Changes" (CSI: Crime Scene Investigation), a 2004 television episode "Ch-Ch-Changes" (Perception), a 2013 television episode "Ch-Ch-Changes" (Popular), a 2000 television episode "Ch-Ch-Changes" (Roswell), a 2002 television episode "Ch... Ch... Ch... Changes", a 1999 episode of Dawson's Creek "Ch-Ch-Ch-Ch-Changes", a 2007 episode of Friday Night Lights
See also "Changes" (David Bowie song), in which the phrase appears