An annual appraisal is a chance for nurses to review the previous year with their manager, to give and receive feedback, and agree objectives and development needs for the coming year in their nursing role. For nurses on the NHS Agenda for Change contract, appraisals are also linked to pay rises. Good preparation can help ensure the process reflects your contributions and appropriately identifies future needs and goals. We look at what you can do to prepare for an appraisal, what a good appraisal looks like, what should and should not be discussed, and what to do it if doesn’t meet your expectations.