Inclusion Criteria:  must be an actively operating surgeon either faculty, fellow, or resident. Must report at least 4 out of 10 with pain at worst over the previous week at intake that is attributed to operating.  Exclusion Criteria:  Participants will be excluded if they have prior neck or upper back surgery within the last year. If the participant has any other medical condition that would prevent the participant from performing shoulder and neck strengthening and stretching exercises.