As I mentioned in Fields Medalists on School Mathematics, school mathematics usually gives a heavily distorted picture of mathematical practice. It's common for bright young people to participate in math competitions, an activity which is closer to that of mathematical practice. Unfortunately, while math competitions may be more representative of mathematical practice than school mathematics, math competitions are themselves greatly misleading. Furthermore, they've become tied to a misleading mythological conception of "genius." I've collected relevant quotations below.

Acknowledgment - I obtained some of these quotations from a collection of mathematician quotations compiled by my colleague Laurens Gunnarsen.

In a 2003 interview, Fields Medalist Terence Tao answered the question

What advice would you give to young people starting out in math (i.e. high school students and young researchers)?

by saying

Well, I guess they should be warned that their impressions of what professional mathematics is may be quite different from the reality. In elementary school I had the vague idea that professional mathematicians spent their time computing digits of pi, for instance, or perhaps devising and then solving Math Olympiad style problems.

In The Case against the Mathematical Tripos mathematician GH Hardy wrote

It has often been said that Tripos mathematics was a collection of elaborate futilities, and the accusation is broadly true. My own opinion is that this is the inevitable result, in a mathematical examination, of high standards and traditions. The examiner is not allowed to content himself with testing the competence and the knowledge of the candidates; his instructions are to provide a test of more than that, of initiative, imagination, and even of some sort of originality. And as there is only one test of originality in mathematics, namely the accomplishment of original work, and as it is useless to ask a youth of twenty-two to perform original research under examination conditions, the examination necessarily degenerates into a kind of game, and instruction for it into initiation into a series of stunts and tricks.

In The Map of My Life mathematician Goro Shimura wrote of his experience teaching at a cram school

I discovered that many of the exam problems were artificial and required some clever tricks. I avoided such types, and chose more straightforward problems, which one could solve with standard techniques and basic knowledge. There is a competition called the Mathematical Olympic, in which a competitor is asked to solve some problems, which are difficult and of the type I avoided. Though such a competition may have its raison d'être, I think those younger people who are seriously interested in mathematics will lose nothing by ignoring it.

In his lecture at the 2001 International Mathematics Olympiad, Andrew Wiles gave further description of how math competitions are unrepresentative of mathematical practice

Let me then welcome you not only to this event but also to the greater world of mathematics in what many of us believe is now a golden age. However let me also warn you — whatever the route you have taken so far, the real challenges of mathematics are still before you. I hope to give you a glimpse of this. What then distinguishes the mathematics we professional mathematicians do from the mathematical problems you have faced in the last week? The two principal differences I believe are of scale and novelty. First of scale: in a mathematics contest such as the one you have just entered, you are competing against time and against each other. While there have been periods, notably in the thirteenth, fourteenth and fifteenth centuries when mathematicians would engage in timed duels with each other, nowadays this is not the custom. In fact time is very much on your side. However the transition from a sprint to a marathon requires a new kind of stamina and a profoundly different test of character. We admire someone who can win a gold medal in five successive Olympics games not so much for the raw talent as for the strength of will and determination to pursue a goal over such a sustained period of time. Real mathematical theorems will require the same stamina whether you measure the effort in months or in years [...] The second principal difference is one of novelty [...] Let me stress that creating new mathematics is a quite different occupation from solving problems in a contest. Why is this? Because you don't know for sure what you are trying to prove or indeed whether it is true.

In his Mathematical Education essay, Fields Medalist William Thurston said

Related to precociousness is the popular tendency to think of mathematics as a race or as an athletic competition. There are widespread high school math leagues: teams from regional high schools meet periodically and are given several problems, with an hour or so to solve them. There are also state, national and international competitions. These competitions are fun, interesting, and educationally effective for the people who are successful in them. But they also have a downside. The competitions reinforce the notion that either you ‘have good math genes’, or you do not. They put an emphasis on being quick, at the expense of being deep and thoughtful. They emphasize questions which are puzzles with some hidden trick, rather than more realistic problems where a systematic and persistent approach is important. This discourages many people who are not as quick or as practiced, but might be good at working through problems when they have the time to think through them. Some of the best performers on the contests do become good mathematicians, but there are also many top mathematicians who were not so good on contest math.

Quickness is helpful in mathematics, but it is only one of the qualities which is helpful. For people who do not become mathematicians, the skills of contest math are probably even less relevant. These contests are a bit like spelling bees. There is some connection between good spelling and good writing, but the winner of the state spelling bee does not necessarily have the talent to become a good writer, and some fine writers are not good spellers. If there was a popular confusion between good spelling and good writing, many potential writers would be unnecessarily discouraged.

In his book Mathematics: A Very Short Introduction, Fields Medalist Timothy Gowers writes

While the negative portrayal of mathematicians may be damaging, by putting off people who would otherwise enjoy the subject and be good at it, the damage done by the word genius is more insidious and possibly greater. Here is a rough and ready definition of genius: somebody who can do easily, and at a young age, something that almost nobody else can do except after years of practice, if at all. The achievements of geniuses have some sort of magic quality about them - it is as if their brains work not just more efficiently than ours, but in a completely different way. Every year or two a mathematics undergraduate arrives at Cambridge who regularly manages to solve a in a few minutes problems that take most people, including those who are supposed to be teaching them, several hours or more. When faced with such a person, all one can do is stand back and admire. And yet, these extraordinary people are not always the most successful research mathematicians. If you want to solve a problem that other professional mathematicians have tried and failed to solve before you, then, of the many qualities you will need, genius as I have defined it is neither necessary nor sufficient. To illustrate with an extreme example, Andrew Wiles, who (at the age of just over forty) proved Fermat's Last Theorem (which states that if x, y, z, and n are all positive integers and n is greater than 2, then xn + yn cannot equal zn) and thereby solved the world's most famous unsolved mathematics problem, is undoubtedly very clever, but he is not a genius in my sense. How, you might ask, could he possibly have done what he did without some sort of mysterious extra brainpower? The answer is that, remarkable though his achievement was, it is not so remarkable as to defy explanation. I do not know precisely what enabled him to succeed, but he would have needed great courage, determination, and patience, a wide knowledge of some very difficult work done by others, the good fortune to be in the right mathematical area at the right time, and an exceptional strategic ability. This last quality is, ultimately, more important than freakish mental speed: the most profound contributions to mathematics are often made by tortoises rather than hares. As mathematicians develop, they learn various tricks of the trade, partly from the work of other mathematicians and partly as a result of many hours spent thinking about mathematics. What determines whether they can use their expertise to solve notorious problems is, in large measure, a matter of careful planning: attempting problems that are likely to be fruitful, knowing when to give up a line of thought (a difficult judgement to make), being able to sketch broad outlines of arguments before, just occasionally, managing to fill in the details. This demands a level of maturity which is by no means incompatible with genius but which does not always accompany it.

In Does one have to be a genius to do maths? Terence Tao concurs with Gowers and expands on the same theme.

Fields Medalist Alexander Grothendieck describes his own relevant experience in Récoltes et Semailles