Directing a surgical fellowship program is a rewarding endeavor. It is an opportunity to shape the future of your specialty and can provide a worthwhile leadership opportunity for you as the program director. As a fellowship director, you will become a lifelong mentor for countless individuals and set an example within your field. Challenges are expected but can be mitigated with thoughtful planning and surrounding yourself with a dedicated team. The skills obtained and utilized in this role cover many areas, including teaching, leadership, communication, and even negotiation. Being a fellowship director is a phenomenal opportunity to contribute to your field and build a program within your department and hospital.