Few chief executive positions rival today's academic presidency in the complexity, unpredictability, and stress-producing nature of the job. This article describes how board members can sustain the well-being of those who hold down today's demanding academic presidencies. Initiatives boards can consider include: (1) appropriate personal staff; (2) Professional development opportunities; (3) mentoring and coaching; and (4) personal perquisites. A standard component of an annual presidential review should be the board's candid discussion of the president's personal, emotional, and intellectual well-being. Thus, both the board and president should develop a specific plan that draws on the foregoing resources and initiatives.