The landscape of private practice in Obstetrics and Gynecology has changed throughout the years to address increased liability coverage, physician burnout, and employee benefits. Despite some of these challenges, a career in private practice can have its rewards. In private practice, there can be flexibility in schedule, opportunity for financial growth, partnership, and the possibility of “being your own boss.” When considering private practice, it is important to consider how your practice optimizes efficiency in the clinic, while managing private gynecologic and obstetric patients. Private practice provides the opportunity to practice independently and assume the business of medicine.