Background: Burnout and overcommitment are increasingly recognized challenges in neurosurgery, particularly among women and underrepresented groups. Summary: This article reflects on professional lessons regarding the importance of boundaries, balance, and the courage to say no as essential components of wellness and sustainable careers in neurosurgery. The discussion highlights systemic pressures, gender disparities, and strategies for resilience. Key Messages: Boundaries are safeguards, not barriers; saying no is an act of leadership; redefining success beyond volume metrics is critical for long-term wellness.
Zulma Tovar-Spinoza (Mon,) studied this question.