Orthopedics residents undergo intense training to build strong clinical and surgical foundations. As they approach the final years of residency, many begin preparing for fellowship by focusing on a subspecialty such as sports medicine, spine, or trauma. This preparation includes engaging in relevant research, attending specialty conferences, and seeking mentorship from experienced surgeons. Board exam preparation also becomes a priority. Networking, building a strong CV, and applying to competitive programs are essential steps. By combining hands-on experience with academic growth, orthopedics residents set the stage for successful fellowships and long-term careers in specialized orthopedic practice.