The document discusses several costs and challenges of spiritual leadership according to J. Oswald Sanders' book Spiritual Leadership: 1. Self-sacrifice is required daily as a leader must "lose their life" and lay it down for others like Jesus did. 2. Loneliness is inevitable as the leader stands alone, misunderstood and having to make difficult decisions. 3. Fatigue is the price of leadership as rising early and working late is required with no rest for the leader. 4. Criticism, rejection and pressure come with spiritual leadership as the leader is pushing people forward and held to a high standard.