Women in neurosurgery and interventional neuroradiology in Brazil and other countries: can lightning strike the same place twice?

Background: Neurosurgery is historically a specialty with a wide male predominance. Interventional neuroradiology, considered in many countries to be a subspecialty of neurosurgery (but also radiology and neurology), has never been the setting for this discussion, but the even greater gender inequality of professionals working in this area is well known.

Aims: The initial objective of this research was to describe the personal and professional profile of the few women in Brazil who practise neurosurgery and interventional neuroradiology, and the difficulties they encountered throughout their careers just because they are women. However, the shocking stories they experienced led the team to expand searches around the world, obtaining data from some other countries, mainly in South America. Machismo, harassment, misogyny, discrimination and wage inequality go beyond borders.

Discussion: Current times do not allow these situations anymore, but which, according to the narrative descriptions of 28 interventional neuroradiology women interviewed, still occur very frequently. A more inclusive vision must be sought by interventional neuroradiology societies, and it is up to the leaders to take care of those who need more attention (which does not mean they are more fragile).