Completing obstetrics and gynecology residency is an impressive milestone, requiring four years of hard work and dedication. Afterwards, graduates can encounter many options in their career path. Some choose to dive right into an attending role, while some will choose to pursue a more specialized career via a fellowship program. Regardless of what path one takes after finishing residency, the process can be daunting, with many unknowns and unique obstacles, often faced in unfamiliar atmospheres. This book provides guidance, support and advice for the challenges that come after the completion of an obstetrics and gynecology residency and serves as a valuable resource for those physicians, residents and medical students pursuing a career in obstetrics and gynecology. We review several areas of fellowships and how to navigate through the application process, provide a guide for finding a job and negotiating through your first position, and discuss other difficult topics such as how to deal with malpractice lawsuits or the loss of a patient.