Lessons in Resilience: Career Advice from a Woman Urologist

 Resilience, perseverance, and a fierce commitment to purpose—these are just some of the traits that define success in medicine. But in a specialty like urology, traditionally dominated by men, it takes a special kind of determination to rise through the ranks as a woman urologist.

Over the past few decades, women have been breaking barriers in medicine, and urology has slowly seen an increase in female representation. From medical school to fellowship, and then into clinical practice, every woman urologist who has made it through this path carries a story of strength, grit, and invaluable lessons.

In this article, we share real-world career advice drawn from conversations and interviews with seasoned professionals. Whether you’re a medical student considering urology, a resident seeking mentorship, or simply curious about the journey, these lessons from a woman urologist are a powerful guide for building a fulfilling career while navigating challenges with grace and purpose.

A Brief Look at the Numbers

Urology is one of the few surgical specialties with historically low female representation. As of 2024, women account for just under 11% of practicing urologists in the U.S., but the number is steadily growing.

Each woman urologist who enters the field contributes to changing perceptions, broadening the specialty’s appeal, and paving the way for more inclusive patient care. These trailblazers aren't just excelling clinically—they're mentoring the next generation, publishing cutting-edge research, and leading academic departments.

Lesson 1: Resilience Starts with Knowing Your Why

Ask any successful woman urologist what keeps her going, and she’ll likely point to a strong personal motivation. Whether it’s a desire to offer compassionate care, tackle surgical challenges, or advocate for women’s health, knowing your “why” becomes an anchor during the most demanding parts of training.

Dr. L., a urologist practicing in a major Midwest academic center, says:

“There were days I felt out of place in the OR, especially early on when I was the only woman. But reminding myself why I chose this field—to be the doctor I wished my mother had—gave me strength.”

Understanding your purpose allows you to stay focused, even when external validation is lacking. For every aspiring woman urologist, this internal compass is the first lesson in resilience.

Lesson 2: Build a Tribe, Not Just a Resume

Medical training can be isolating, especially in specialties with few women. One of the most important pieces of advice from a woman urologist is to actively seek community—mentors, peers, and allies who support your goals.

This support system can be instrumental when facing challenges like:

  • Imposter syndrome

  • Gender bias

  • Work-life balance concerns

  • Competitive fellowship applications

Many woman urologists recommend joining professional groups like the Society of Women in Urology (SWIU), which provides networking, leadership opportunities, and a space to share experiences. Dr. R., who leads a urology residency program, adds:

“You can’t do this alone. Surround yourself with people who lift you up and challenge you to grow.”

Collaboration, not competition, is the secret sauce to success.

Lesson 3: Advocate for Yourself—No One Else Will

In many training environments, subtle (and not-so-subtle) forms of gender bias persist. A woman urologist may find her surgical skills questioned, her presence minimized in rounds, or her career ambitions met with skepticism.

The ability to advocate for yourself—professionally, financially, and personally—is a key skill. It’s not about being aggressive; it’s about being assertive, informed, and unapologetic about your value.

One senior woman urologist shared:

“I learned early on to document my achievements, ask for the raise, request the OR time, and speak up during meetings. Silence rarely gets rewarded.”

Learning to stand up for your needs doesn’t just advance your career—it teaches others how to respect and value your contributions.

Lesson 4: You Can’t Be Everything to Everyone—and That’s Okay

Burnout is real. The demands of urology, which include surgical procedures, inpatient consults, and high-stakes outpatient care, can take a toll—especially for women trying to juggle multiple roles outside of work.

One lesson repeated by many woman urologists is the importance of boundaries and self-compassion.

Dr. T., a working mother and fellowship-trained woman urologist, reflects:

“I used to say yes to everything—extra shifts, committees, mentoring, speaking engagements. I thought I had to prove myself all the time. Eventually, I realized the cost to my health and happiness was too high.”

Resilience isn’t just about enduring stress—it’s about recognizing your limits, protecting your peace, and letting go of perfectionism. Balance doesn’t mean doing it all; it means choosing what matters most.

Lesson 5: Change Comes Through Representation

Perhaps the most powerful lesson from a woman urologist is this: Your presence alone changes things.

When patients see a woman in the white coat, when students shadow a female attending in the OR, when leadership includes a woman’s voice—it changes expectations and expands what’s possible.

Being a woman urologist means being a role model, whether you signed up for it or not. Every small act—mentoring a medical student, challenging outdated policies, speaking at a conference—adds up to systemic change.

Dr. M., one of the first female department chairs in urology, shares:

“I didn’t always feel like a trailblazer. But looking back, I see how important it was just to be in the room, to show up every day and do the work.”

Career Advice Highlights from Women in the Field

To sum up some of the most valuable wisdom from practicing woman urologists:

  • Say yes to growth, but no to guilt. Don’t feel bad for setting boundaries.

  • Find your mentors—and be one. Your experiences can help others.

  • Stay curious. The field is always evolving—be a part of that change.

  • Document your accomplishments. Visibility matters, especially for promotions.

  • Lift as you climb. The next generation is watching.

Navigating a Male-Dominated Specialty

While the landscape is improving, many  urologists still encounter:

  • Gender-based microaggressions

  • Fewer mentorship opportunities

  • Unequal pay and advancement

  • Assumptions about competence or leadership ability

But rather than being discouraged, they use these obstacles as motivation. There is a shared sense of mission among female urologists to make things better—not just for themselves, but for every woman who follows.

The takeaway? Resilience is not just about surviving—it’s about transforming the system for those who come next.

A Message for the Next Generation

If you’re considering urology, let the words of these woman urologists encourage you:

  • “You belong in this field.”

  • “Your voice, your presence, your ideas—they matter.”

  • “We need you. The specialty needs you.”

Urology offers an incredible variety—from oncology to reconstruction to pediatric care. The work is meaningful, the technology is cutting-edge, and the impact on patients’ lives is profound. There’s a place for everyone, and that includes more women than ever before.

Frequently Asked Questions

1. Is urology a good field for women?

Absolutely. Although historically male-dominated, urology is evolving rapidly. More training programs are embracing diversity, and many woman urologists are excelling in leadership, research, and clinical roles. Female patients often appreciate being treated by a woman urologist, especially for sensitive issues.

2. What challenges might a woman urologist face in training?

Some common challenges include gender bias, a lack of mentorship, work-life balance concerns, and underrepresentation. However, many woman urologists report that building strong support systems and advocating for themselves helped them succeed and thrive in the specialty.

3. How can aspiring woman urologists find mentors?

Look for programs and organizations that support women in urology, like the Society of Women in Urology (SWIU). Attend conferences, reach out on LinkedIn or Twitter, and don’t hesitate to cold-email physicians whose work you admire. Most woman urologists are happy to mentor future colleagues.

Final Thoughts

Becoming a woman urologist requires more than clinical skill—it demands courage, vision, and resilience. But for those who choose this path, the rewards are immense: the opportunity to heal, to lead, and to inspire others.

Each woman urologist is not only shaping her own career but also rewriting the narrative for women in medicine. With every step forward, they prove that gender is no barrier to excellence—and that leadership in urology isn’t defined by who’s been there the longest, but by who’s bold enough to break new ground.

If you're dreaming of this path, remember: there's room for you in urology. And the specialty is stronger because you're part of it.


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