With the fitting of contact lenses as a medical art, requiring a thorough understanding of anatomy, physiology and optics of the eye, this practice is formulaic only in part. The rest of contact lens practice requires sound medical judgment and decision-making that comes only with "hands-on" experience. The authors address this need by starting with a didactic approach that incorporates frequently asked questions and straightforward answers so that this is an indispensable resource for the ophthalmology resident, intermediate contact lens practitioner, and optometrist.