As psychiatrists we are called upon each day to make ethically important decisions in the service of our patients, our communities, our students, our colleagues, and our profession. Many of these decisions are so routine and so subtle as to go unnoticed in the course of our work. Making a diagnosis, recommending one medication over another, obtaining consultation, supervising trainees, and documenting clinical information are ordinary practices involving ordinary choices. Other decisions rivet our attention, however, causing us to be uneasy, to question, and to seek clarity. Such decisions—involuntarily hospitalizing a suicidal elder, reporting suspected child abuse, or dealing with a serious clinical mistake made by a colleague—are more recognizably ethical because they overtly challenge our understanding of what is good and right and require us to use, purposely, the power that is entrusted to us by virtue of our professional role. Nevertheless, all of these decisions are intrinsically ethical, and applying insights derived from the field of psychiatric ethics may help us make them well or, at least, better than we might otherwise.