A healthy practice and a healthy profession are the results of how we play the game of practice ownership. But what is a healthy practice? Conversing with students, associates and practice owners, the shared perception is that a healthy practice includes four components — a vision or cause, financial health, team health and patient health. While this is the ambition of many veterinarians, turning that ambition into reality on all fronts is a perpetual challenge for a large number of practices. A plethora of different factors may arise as the prominent obstacle within the spectrum of hospitals but the foundation of all of those obstacles comes down to how we perceive and how we choose to play the game of practice ownership.