Introduction: Physician wellness is important for physician engagement and reduction of medical errors, impacting patient care. A recent survey showed that academic otorhinolaryngologists reported low levels of professional fulfillment and high levels of burnout. This study explores wellness factors in facial plastic and reconstructive surgery (FPRS). Objective & Hypotheses: To examine factors associated with fulfillment, burnout, and intent to leave within FPRS. Study Design: Cross-sectional survey. Methods: AAFPRS members completed an anonymous and standardized survey to assess professional fulfillment and burnout. Chi-square testing was used for data analysis. Results: Among 75 respondents (5% response rate), 34% lacked professional fulfillment and 18% experienced burnout, lower than reported rates in academic otorhinolaryngology. Lack of decision-making power in recruitment/purchasing decisions and uncompensated otolaryngology call were driving factors. Conclusio:n Decreased autonomy and extra-subspecialty responsibilities drive burnout, lack of fulfillment, and intent to leave and should be considered in employment arrangements.