Activities surrounding mergers, acquisitions, and right-sizing are calling nursing leaders to make life-giving choices for both their organizations and themselves. Career decisions are intimately woven into the philosophical frame and personal reality of each leader. Some choose to move in vast spaces, which create a career that is broad and sweeping both geographically and experientially. Others stay in place and facilitate their place in the universe through stability and connection. This article examines a career and leadership experience of a nurse executive who has remained in one geographical space for her entire life. Opportunities and challenges of this career path are explored while life-giving strategies that create meaning and significance for self and others are identified.