As organizations grow, pressure does not disappear.It moves upward.What reaches the CEO is rarely a clear decision. It is unfinished work. Blurred ownership. Risk no one else wants to carry. Over time, the CEO becomes the place where everything unresolved ends up.This book is written for sitting CEOs operating under scrutiny.Leading When Everyone Is Watching explains why pressure at the top is structural, not personal. It shows how scale creates decision sinks, how authority separates from ownership, how visibility turns into a tax, and how shadow influence quietly shapes outcomes.This is not a leadership book. It does not focus on mindset, personality, or motivation.It is a practical guide to stopping pressure before it settles on the CEO. The book introduces refusal tools that change how work travels upward, force decisions to mature at the right level, and create clear endings instead of endless discussion.Written in simple, direct language for senior leaders working in high-context environments, this book is for CEOs who are accountable for outcomes they do not fully control and want to redesign the system so pressure stops living in them.