Balancing the Scalpel with Self: The Plight of Women in Surgery.

Women surgeons face disproportionately high rates of burnout, depression, and suicide, with a shortened life expectancy compared with those outside of medicine. These outcomes are driven by systemic inequities rather than individual shortcomings. Despite equal representation in medical school, women remain underrepresented in leadership, overburdened by domestic responsibilities, victims of sexual harassment and biases, and inadequately supported by our institutions. These challenges lead to decreased career satisfaction and higher attrition rates. The overuse of terms such as "burnout" without meaningful action has left many of us feeling acknowledged but unsupported. To improve both career and health longevity, we must focus on system-level reform utilizing evidence-based interventions, including paid parental leave, access to childcare and lactation policies, harassment protections, flexible work structures, mentorship, and leadership development. Addressing these barriers is not only essential for gender equity but also pivotal to outstanding patient care.