Negotiating a first contract can be a stressful experience for soon-to-be early-career physicians. Most trainees do not have extensive experience with the contract negotiation process, and this unfamiliarity often breeds a lack of confidence and anxiety. However, understanding some key points and the general mechanics of a contract will help bridge any areas of uncertainty. The following review article is designed to help explain these important points so that early-career physicians can feel prepared during the contract negotiation process. Additionally, seeking the help of a contract lawyer can further prepare a physician for successful contract negotiations.