While the general research literature has addressed narcissistic behaviours in executive leaders, the effect of its presence on the success of the executive coaching process has not been explored. The predominance of narcissism in our executives, however, has been established--making it likely that coaches will deal with these types of behavioural tendencies. Drawing from interviews, an organizational survey and observations at a single organizational site, as well as broader coaching experiences, this article offers a practical reflection of narcissism in the organizational environment and presents core issues that coaches may face. It also suggests some possible guidelines for coaching this type of client and considers how much we as coaches should endeavor to assist our clients in changing this aspect of themselves.