Self-esteem usually refers to the firm, stable and high appraisal of a person about himself. Self-esteem provides confidence, strength, power and independence to the leaders. Having positive self esteem leads to positive results in excellent decision making and hence, provides a basis of adequate leadership tools. A person with positive self-esteem will not take the mistakes or wrong decisions as a negative evaluation of his/her performance but will be motivated to learn from those mistakes. A leader making a wrong decision with high self-esteem will accept the mistake but will ensure not to repeat it (Barker, 1992 pp 159-160). On the other hand, a self-centered leader will be more motivated toward getting rather than giving. Leadership requires the leader to be familiar with the employees, customers and others affected by his decisions. If a leader is self-centered his decisions will be based on his own personal interest and will. An effective and ethical leader should always care for others or at least give enough consideration to their needs and the consequences of his decisions. The self-esteem and confidence help in developing long-lasting and strong relationships and on the other hand, self-centeredness takes the leader towards apathy and disloyalty of the related people. Health care field calls for more ethical decision making as people’s health and life is directly or indirectly related to the decisions made by the leaders. In the health care field, personal interests are not given priority over others. The concept of stewardship applies in the healthcare field as healthcare providers are accountable for their actions and decisions made for the individuals. Hence, the concept of self-centeredness fails in this context and patients and other employees are given the power to communicate and discuss the possible outcomes of the decisions made to provide proper treatment and the comfortable healthcare environment to the patients and clients.