Lenox Hill provides one of the most unique orthopedic training environments in the country. Its small size fosters a team atmosphere amongst residents, while extensive one-on-one training promotes mentorship opportunities with attendings. The residency balances extensive hands-on surgical experience (residents routinely graduate >90th %-ile in volume) while maintaining the academic rigors of a major health system. The curriculum also provides premier specialty exposure with rotations at distinguished training partners (Shock Trauma, Boston Childrens, Memorial Sloan Kettering). Graduates are widely regarded as technically skilled, independent, and prepared for practice—characteristics reflected in top-tier fellowship matches. Attendings represent a diverse mix of academic and private practice models, offering graduates the knowledge to identify and pursue the career of their choosing, and graduates securing both academic and private practice positions in competitive markets (New York, Los Angeles, Miami). Trainees seeking residencies that will truly ready them for any orthopaedic future should consider highly.