Elite athletes compete at the highest level of their chosen field and elite Mixed Martial Arts (MMA) athletes are considered by many to be the greatest all around trained athletes in the world. Mental preparation is considered the distinguishing form of preparation that separates the successful athletes from the less successful at a level where many are physically comparable. Therefore, the purpose of this qualitative study was to understand more fully the experience of elite MMA athletes and their utilization of mental preparation. Research participants consisted of eight professional MMA male athletes who were interviewed using a semi-structured interview format. Five categories containing a total of 17 major and 11 minor themes regarding mental preparation were revealed. Elite MMA athletes considered mental preparation vital to their success and discussed their personal mental training program. Participants expressed what mental preparation tools were used in their training regime and how they utilized these preparation tactics including their personal preferences. This study and results indicate that elite MMA athletes utilize various forms of well-known mental preparation and uphold certain personal preferences. In addition, these elite athletes would benefit from comprehensive mental preparation training and learn how to better improve their mental performance just like they do with their physical performance. This is a population of special individuals who are set apart with mental and physical giftedness deserves further attention.