In this unique 1-year course, through a combination of in-person workshops, virtual learning, and small group projects, I, along with 130 surgeons, with varied backgrounds and specialties, from over 30 countries worldwide, learned the "A-to-Z" (and then some) of the business of medicine, and in particular as it relates to surgical practice. Whether it was thought-provoking leadership discussions with the Dean of Harvard Medical School, challenging business case studies with the Dean of Harvard Business School, or the numerous other engaging interactions with world-renowned faculty, professors, CEOs, innovators, scientists, and entrepreneurs, we literally were exposed and had direct access to the world's best and brightest. And it was through these interactions that we, surgeons, learned how to write business plans, negotiate skillfully, market our strengths (and weaknesses), balance hospital budgets, hire and fire effectively, manage complex teams; resolve conflicts, brand our images as both physicians and leaders, and so much more.