Bullying and undermining behavior occur with regularity in the workplace, including hospitals, office settings, academics, and medical education. In surgery, some bullying and undermining behaviors have been normalized as difficult personalities, workplace hierarchy, or simply the status quo which makes recognizing and addressing these behaviors difficult. Despite seeming “normal”, bullying and undermining behavior has negative consequences on wellness, surgical education, and even patient safety. Although unprofessional behavior is not uncommon, surgeons may feel ill-equipped to recognize and respond to bullying or undermining. Bystanders are often unsure of how to respond and may be concerned about becoming a victim themselves or negatively impacting their own career advancement. In this panel discussion, we will discuss how bullying and undermining may present in a range of practice environments including academics, private practice, and the hospital (operating room, consults, emergency room) making this panel relevant to all practicing otolaryngologists, advanced practitioners, and trainees. Our panelists will discuss how to identify bullying and undermining behaviors that may be encountered in each of these practice areas and will provide strategies to address and respond to unprofessional behavior. We will discuss examples of bullying and/or undermining behavior and discuss responses to these difficult situations.