This chapter explores the often-overlooked personal health challenges faced by college presidents, emphasizing the profound impact of leadership stress on physical, emotional, and mental well-being. Through vivid scenarios and real-world examples, it illustrates how the daily demands of the presidency—ranging from crisis management and student safety to legislative pressures and institutional oversight—can lead to burnout, anxiety, and strained relationships. The chapter highlights how the health of constituent groups (students, faculty, staff, board members, and the broader community) directly influences the president’s own wellness. Presidents must navigate emotionally charged environments, manage complex interpersonal dynamics, and respond to crises with composure and clarity—all while maintaining their own resilience. Using the Challenge Framework, the chapter offers a structured approach to addressing personal wellness: gathering data on burnout and stress, preparing actionable wellness plans, implementing support systems, and following up with measurable outcomes. It advocates for mental health awareness programs, flexible scheduling, executive coaching, and mentorship as tools to promote sustainable leadership. The chapter also emphasizes the importance of modeling self-care, building supportive networks, and integrating wellness into institutional culture.