Elastin is an extracellular matrix material formed when the precursor protein, tropoelastin, undergoes coacervation and crosslinking. It is found in all vertebrates where its reversible elasticity, robustness and low stiffness are essential for the normal function of arteries, lungs, and skin. It is among the most resilient elastic materials known: During a human lifetime, arterial elastin undergoes in excess of 109stretching/contracting cycles without being replaced or repaired and its slow oxidative hardening has been identified as one of the hard limits on human lifespan. The physical basis for these properties, most notably the molecular mechanism of entropic recoil, have been a source of controversy for over fifty years. Herein, we report a combined NMR and thermomechanical study of elastin that establishes the hydrophobic effect as the primary driver of elastin function. Water ordering at the solvent:protein interface was directly observed as a function of stretch at the molecular level using double quantum filtered 2H NMR and the most extensive thermodynamic analysis of elastin function performed to date was obtained by measuring elastin length and volume as a function of applied force and temperature in normal water, heavy water and with added co-solvents. When elastin is stretched, the heat capacity increases, water is ordered proportional to the degree of stretching, elastin′s internal energy decreases, and heat is released in excess of the work performed. Together, these properties show that spontaneous recoil in elastin at physiological temperatures and conditions is primarily driven by the hydrophobic effect. Consistent with this conclusion are decreases in the thermodynamic signatures when co-solvents that alter the hydrophobic effect are introduced. Hydrophobic effect-driven recoil, as opposed to a configurational entropy mechanism where hardening from crystallization can occur, may be the origin of elastin′s unusual resilience.