Dr. Taylor is a practicing surgeon who has, over a 25-year career, held a number of leadership positions in the Canadian health care system. Effective Medical Leadership represents a distillation of what he has learned “in the trenches” during that time. The book is case-based, thoughtful, and extracts from real situations a variety of lessons for medical leaders, regardless of their specialty. He touches upon management theory, ethics, resource stewardship, and self-efficacy in ways that are down to earth and in language that is accessible. Although his takeaway aphorisms are sometimes painfully obvious, they are true. The examples used and recommendations in terms of leadership practice translate readily to the United States. I would recommend this book to a neophyte physician leader anywhere. Reading it is like following a skilled attending physician on rounds through the work of leadership, with the attending explaining his thought processes and interventions in the transition from one ward to another. For more experienced leaders, however, the book has virtually no utility. For a scholar of leadership, the only interest would be in how Dr. Taylor has extracted the lessons that he proposes from his life's work; the lessons themselves fail the test of innovation.