Building a successful clinical program in obstetrics and gynecology is a worthy endeavor that requires meticulous planning and a clear understanding of your personal and/or institution’s goals. The ultimate success of the program is dependent on formulating your mission, understanding the costs and benefits of the program, and gaining the trust and support of the identified stakeholders. While initially challenging, the rewards of developing and implementing a successful program are plentiful and will allow you to grow as both a clinician and change leader.