Difficult times are when leaders need to rise up. There is no more important or impactful time for you to demonstrate your character and mettle, no time your group needs you more. Leaders cannot shrink from this responsibility, or they should be replaced. It does not take tremendous intelligence to strive in a crisis, but it does require character, fortitude, and courage. This chapter outlines some principles that may be of use in the event of a crisis. It begins with understanding the scope of the problem and how it will affect your group. It goes into how to stay ahead of the curve, predicting the potential outcomes and implications of the crisis before they occur. It talks about the importance of clear, concise, and effective communication to your group. It goes into the importance of aligning your actions with not only your group but the groups above you, such as the hospital and medical school. It covers the concepts of surveying your constituents, learning from them, and adapting your responses based on their needs. We talk about the importance of addressing mental health issues that develop in response to a crisis, not only for your group but also for yourself. It concludes with how to come out on the other side of the crisis as a strong and functional group.