Your vision statement for your group, presented both orally and in writing, is one of your most important and memorable acts as a leader. It should be given a great deal of advance thought and planning ahead of time, and you should be sure to vet it with a number of people who will give you good and frank advice. Although they can be intimidating, vision statements are usually full of positivity and forward thinking, are a great source of inspiration to your group, and serve as the ultimate frame of reference. This chapter describes difference between “mission” and “vision,” and how to develop both types of statements. It discusses the three “pillars” of academic medicine – clinical, research, and education – but also additional pillars worth considering as you develop your mission and vision statements. It goes into how to set goals, metrics, and milestones for your vision statement, as well timelines for achieving them. It then describes how to get your group to fully understand your vision and rally behind it, and concludes with a discussion of how to periodically reassess and recalibrate your vision.