Integer operations are typically introduced in sixth grade, but they are a consistent area of struggle among these students. This struggle also inhibits their understanding of algebraic computations involving positive and negative terms. In this article, the author provides introductory tasks and models for adding and subtracting integers that can support a conceptual and connected understanding. When understanding integers, students learn that numbers extend in both directions indefinitely. Instead of a beginning point, students come to recognize zero as the center. Instructional strategies that prioritize conceptual understanding often use models and contexts to help students visualize integers. The Integer Tug-of-War activity aims to promote flexibility through integrating multiple strategies in an accessible context. Developing a conceptual and flexible understanding of integer operations is vital to students' success with algebra concepts and operations. We can continue to use concrete tools and pictorial representations to support students in developing conceptual understanding with more abstract ideas, including integers.