Professional singing must be considered as a high-performance sport requiring special training conditions and top physical performance. The professional singer is under enormous time pressure as a premiere sets a precise deadline. The audience wishes to see a radiant hero and a stellar performance. Problems of the professional singers, when sudden voice problems set in: The physician in attendance must devise an effective treatment concept that will enable the patient to make full use of his/her voice within the shortest possible time. To find a right decision for a conservative therapy or for a potential phonosurgery procedure, the physician takes a high degree of responsibility. Any unduly prolonged “vocal rest for safety reasons” induces unnecessary cancellations, involving the risk of sizable financial loss for the singer and even future contracts. Inadequate vocal rest and overloading the voice with an untreated organic disease can likewise constitute a great danger. Finding the adequate treatment plan in such cases requires considerable sensitivity and sometimes as well necessitates assertiveness and authority.