Doctors are unhappy. Disenchanted with the practice of medicine, and dissatisfied with personal and professional life, many entertain the notion of alternative careers. Declining reimbursement, increasing workload, diminishing autonomy, and encroaching bureaucracy have robbed medical practice of joy and reduced it to wearisome drudgery. This disturbing trend emerges at a time when physician leadership in hospitals has never been more crucial. Physician engagement is essential to providing quality care, ensuring patient safety, providing an outstanding experience for patients and families, and building healthy communities. Since doctors and hospitals are inevitably and inextricably bound together in the care of our patients, it is imperative that hospitals help doctors find purpose, meaning, and fulfillment in life while working alongside the hospital to create a healing experience for the suffering and ill who seek our help.