According to a recent survey conducted by the Pharmacy Technician Certification Board (PTCB), a wide majority of pharmacists agree that certification and proper training of pharmacy technicians are essential to reducing medication errors. Although registered pharmacists are legally responsible for the work of pharmacy technicians working under them (the same is true with physicians and physician assistants), the pharmacy technicians are essential to a properly operating pharmacy. The importance of pharmacy technicians is especially critical in large hospital pharmacy settings. In hospital pharmacies, hundreds of drugs must be accurately prepared, packaged, and labeled with the correct patient's name. Even in some of the country's elite hospitals, pharmacy technicians are paid little more than pizza delivery drivers. Yet, they must follow multiple formulas for the preparation of medications, often under the pressure of understaffing and time demands. When fiscal corners are cut in the hospital pharmacy, the public is unaware of the risk being created until a tragedy occurs. The understanding displayed by the pharmacists surveyed by the PTCB, of the importance of pharmacy technicians, is a start. A serious reduction in large–pharmacy medication errors, however, is unlikely until pharmacy technicians are universally well–trained, adequately supervised, and fairly paid.