Should MedTech leaders be evaluated with the same rigour as airline pilots? Pilots undergo intensive, twice-yearly assessments because lives are at stake. Yet executives making life-impacting decisions are judged largely on short-term financial metrics. This episode of HealthPadTalks argues for a pilot-inspired, holistic appraisal model - spanning ethics, crisis readiness, communication, compliance, and teamwork - for the MedTech C-suite.