Fatigue is a common problem among residents due to a combination of long work hours, high work load, interrupted sleep, and the expectation that patients’ needs take precedence above one’s own. Unmitigated fatigue can lead to concentration difficulties, irritability, and burn-out, causing adverse outcomes for both patients and residents themselves. Furthermore, within surgical specialties, the culture often implies that trainees who admit to being fatigued are “less dedicated” than their peers. To maintain resident well-being, it is critical that residents recognize fatigue in themselves and others, be able to use strategies to mitigate fatigue during their training, and provide support to fellow trainees.