There are over 250 surgical residencies in the United States. Most residents experience some degree of shock once they start on the very first day, and the demands of residency are high. The current overall dropout rate is 16%, and there is evidence for higher burnout rates, suicide rates, addiction rates and divorce rates among all surgeons compared to other careers. There is therefore a critical need for the education of resiliency during surgical residency and guidance on surviving this challenging portion of their career. Unfortunately, the experiences of trial and error are the basis for survival, and resiliency training is often overlooked as part of the traditional surgical training.