Excelling as a Woman in Surgery: Insights From an Orthopedic Resident

I distinctly remember the day I first considered a career in orthopedics. Prior to medical school, I worked as a scribe in a small orthopedic clinic. While the other scribes grew tired of their days repeatedly evaluating arthritis, I was fascinated by the nuances and surgical options that orthopedics offered. The field aligned with my interests, and I entered medical school strongly favoring a career in orthopedics (while being open to other specialties, of course!).

Pursuing this path as a woman, however, came with unique challenges. In orthopedic surgery—a field where women represent just 7% of practitioners—I’ve faced obstacles ranging from casual biases to questions about my ability to belong in such a male-dominated space. These experiences have shaped not only my perspective as a surgeon but also my commitment to fostering inclusion in medicine.

In this blog, I’ll share personal experiences, insights, and strategies that have helped me navigate these challenges and find success in my chosen field. From overcoming self-doubt to finding mentorship and building supportive communities, this post highlights the importance of perseverance, grace, and humility. Whether you’re considering a surgical specialty or navigating your own challenges, I hope these reflections inspire and empower you on your journey.

The Challenges of Being a Woman in Surgery

The specialty is multifaceted and complex, but my interest in orthopedics was most often met with comments about physical strength requirements, family planning considerations, and “woman-friendliness” of the field. I observed my male colleagues having much more intellectual conversations regarding their particular interests and research endeavors, as well as congratulations regarding their specialty determination. While I am sure no one meant harm with these questions, this experience frustrated me. Why am I being challenged, while my male counterpart is congratulated? All genders belong in surgical fields, and diversity among medical providers significantly improves patient care, comfort, and outcomes.

Even now, as an orthopedic surgery resident at one of the most ethnic and gender-diverse programs in the country, casual prejudices are commonplace. Patients will often assume I am a nurse despite a white coat and “DOCTOR” badge. My surgical plans are questioned and critiqued while those of my male counterparts are lauded. Consultants will respond with questioning and doubt rather than “thank you for your recommendations.” Each of the women in my department has expressed similar experiences, and it results in significant self-doubt. We have collectively lamented over our positions under the microscope, and feel that we must perform at a higher level, with far more social and emotional regulation, to be considered as “good” as our male counterparts. Despite these hurdles, I was determined to find ways to navigate these challenges and build the confidence I needed to thrive in this demanding field.

Building Confidence and Overcoming Self-Doubt

It is no secret that women are underrepresented in surgical subspecialties. In AAMC’s most recent physician data, women in general surgery represent only 25% of the field, while women in orthopedic surgery represent only 7% of the field. Current application trends are improving, but are still insufficient. The current residency application pool in general surgery and orthopedic surgery is 44% and 24% female, respectively. When the majority of medical school matriculants are female, it highlights a stark divide. When asked why women choose nonsurgical subspecialties, many point to lifestyle demands and the perception that they “don’t belong” in the field. Despite ongoing efforts to recruit more women, they are often deterred long before recruitment efforts reach them.

There are many shortcomings when evaluating the composition of female residents in surgical subspecialties. However, systematic change cannot happen overnight. As a female becoming more and more confident in my specialty choice, I wanted to make changes where possible. In medical school, another female colleague and I founded a journal club emphasizing inclusivity in surgery. We aimed to create a safe space for women and minorities to discuss current literature, as well as their concerns, regarding differential treatment of marginalized groups in surgery. 

This small but meaningful effort resulted in wonderful discussion, as well as organic mentorship opportunities for those looking to pursue a surgical specialty. Another intentional effort was joining the Ruth Jackson Orthopedic Society, where I could connect with female mentors and receive advice regarding a career in orthopedic surgery. Even in residency, I have prioritized events that empower women. Participating in the Perry Initiative, serving on various committees, and mentoring medical students applying into orthopedics are just a few of the ways I share my experiences and perspectives. While this may not make me a better surgeon, I am passionate about minimizing barriers for all genders and backgrounds to pursue surgery.

Finding a Community and Support as a Woman in Surgery

When reflecting on my path thus far, I notice that I went out of my way to identify mentors and opportunities within my field of interest. Does this mean that every woman interested in surgery must go out of their way to create their own opportunities for inclusion? Certainly not. It does, however, emphasize the lack of formal female or minority mentorship built into medical school curricula. A surface-level exposure (which is what most female medical students experience) could easily deter many from the field of orthopedics. However, those who persistently seek opportunities often find that they not only belong, but excel in the field that initially seemed unwelcoming.

There are common themes that have led to my success as a female in a male-dominated field. If you are drawn to a surgical subspecialty, the best course of action is to explore. Asking questions of professors, program directors, or other members of the field will demonstrate interest to those in leadership, while also guiding you to the best mentors for you. A research project that started from a friend’s recommendation resulted in a years-long advocate who guided me to my best-fit residency. Even when the mentor is a different gender or race, common priorities and a focus on your success will work wonders on your career pursuits.

An essential aspect of my training has been my community. I am fortunate to belong to a residency program that prioritizes women, and promotes women in ortho events on a frequent basis. Even outside of these events, I have a strong sense of belonging to the community of female residents and attending surgeons within my program. A major contributor to this sentiment is that of openness and honesty with my female colleagues. We often joke about or lament over frustrating or sexist experiences while together in the workroom. We support each other when we’re struggling, and rejoice in each other’s successes. While many do not have the privilege of a strong female community in their program, taking advantage of your female network will work wonders for your sense of belonging and support.

Fostering Grace and Humility: Advice for Women Considering a Career in Surgery

Another common theme adopted by my female colleagues and I is that of grace. Most people do not realize the biases they hold, nor how hurtful these biases can be. There are many small comments or actions we experience each day that are hurtful or prejudiced. While they are certainly harmful, we decide to give others (and ourselves) grace when facing these events. Frustration, and even correction of prejudiced behavior may be appropriate at times.

More often, a joke or lighthearted jest draws attention to the absurdity of the comment, while maintaining rapport with the patient or team member. Dwelling on the experience, making rude comments, or becoming frustrated for the remainder of the day distracts us from becoming the best surgeons and clinicians of which we are capable. It can also lead to disciplinary actions that prevent us from advancing in your training. Taking a step back to reflect on various perspectives has helped me to manage these frustrating interactions with poise instead of frustration.

The final theme that has helped me succeed as a woman in surgery is that of humility. There have been times where I was unsure how to proceed following a difficult situation or frustrating interaction. Asking for help is always on the table, and shows emotional maturity in managing difficult situations. These times of need have also deepened my relationships with colleagues and mentors of all genders. There is always something to learn, whether that be from a mentee, colleague, attending physician, or even a patient. Most people have experienced negative or frustrating events, and most have gotten through it with essential life lessons. They may not be the same gender or background, but they share a common humanity that can guide you through a myriad of struggles. Reflecting on my journey, I see how these lessons—grace, humility, and a strong support network—have been central to my growth as a surgeon and will continue to guide me moving forward.

Navigating a career in surgery is no small feat, and having the right guidance can make all the difference. If you’re preparing for residency and want personalized support tailored to your goals, Elite Medical Prep’s residency advising services are here to help. Whether you need help strategizing your applications or preparing for interviews, our expert advisors can guide you every step of the way. Schedule a free consultation today to learn how we can help you succeed. Schedule a complimentary consultation to learn more.

Final Thoughts

Being a woman in surgery is far from easy, but the pursuit of your passions will lead you to the right community to support your endeavors. There are many negative aspects to the female experience of surgery. However, emphasizing the positive experiences, and leveraging them to your advantage, will lead you to success. Exploration, grace, community, and humility have guided my pursuit of excellence in an orthopedic career. I still have much to learn, and I push forward knowing that I have a strong sense of self as well as a strong support system to face whatever challenges this career will bring.