Introduction -- Basic Principles of Medical Leadership -- Leadership for Surgical Residents: Effective Clinical Team Leading -- Operative Leadership for the Newly Minted Surgeon -- Participating Successfully in Hospital Committees -- Leading/Starting a New Program -- Becoming a Successful Leader of an Established Program -- Medical School Leadership: Department of Surgery Division Chief or Chair -- Branching out into Hospital Leadership: Elected Positions -- Branching out into Hospital Leadership: Administration: Service Chief -- Branching out into Hospital Leadership: Administration: Chief Medical Officer -- When It's Time to Go -- Final Thoughts.