In the field of conducting, there is considerable scholarship on many facets of the art form; however, very little attention has been given to the specifics of conducting ballet. Furthermore, very little research has focused on conducting Ludwig van Beethoven's The Creatures of Prometheus ballet, especially from the perspective of a ballet conductor. Given the dearth of literature about this significant ballet, this doctoral research examined which artistic skills and relationships are required to successfully conduct The Creatures of Prometheus by using the research in an autoethnographic case study. This research informed and was informed by the presentation of The Creatures of Prometheus ballet in November 2021 in Brisbane, Australia. This performance was the Australian premiere. The case study approach entailed investigating the practical artistic process of conducting this ballet by examining the critical decisions and real-time actions to develop the researcher's artistic practice. The output is an exegetical thesis and an accompanying portfolio of creative works, including recordings and video presentations. Findings from this study highlight the negative perceptions towards conducting ballet in the literature that have contributed to the deficiency of research in this field. The findings also document the artistic skills required to conduct this work and demonstrate the historical significance of The Creatures of Prometheus ballet as a seminal work in early Romantic ballet.