Demand for healthcare services is rising dramatically as the proportion of older adults in the United States increases, and the success of these healthcare organizations depends on cooperation among patients, doctors, and nurses. These interpersonal interactions come with costs associated with managing one's emotions in ways that are in line with completing job tasks effectively, especially as past research has demonstrated that nurses are likely to experience and respond to incivility, and nurses of minority backgrounds even moreso. This study examines the effect of experiencing incivility on engaging in surface acting, or simulating emotions that are not actually felt; how these two factors influence well-being outcomes; and the impact of racial differences in these relationships. A sample of 100 Black and White nurses participated in this research. Results indicate that experiencing incivility increases emotional exhaustion both directly and indirectly through engaging in surface acting in response to incivility. Additionally, findings suggest that Black nurses are more likely than White nurses to experience incivility from other nurses. These results highlight how incivility can contribute to burnout and negative health outcomes and that this effect may be particularly salient among Black nurses.