Central Message Exemplary academic and extracurricular performances are undeniable prerequisites for integrated program applicants. Perhaps more important is demonstrating a commitment to cardiothoracic surgery. Perspective Individuals interested in applying to integrated cardiothoracic surgery residencies derive great benefit from peers who are familiar with the process. Unfortunately, not everyone is afforded this guidance and peer-mentorship before applying. Past integrated program applicants have a responsibility to pay it forward and mentor others seeking a similar training path, which here we attempt to do.