Gender-based pay inequities persist in pediatrics, affecting women at all career stages and across subspecialties, even after accounting for work hours, duties, and productivity. These inequities are further pronounced between pediatrics, a women-dominated field, and men-dominated adult medicine and surgery. Contributing factors include systemic bias; unequal access to mentorship, sponsorship, and coaching; unequal promotion to leadership roles; part-time work; and inadequate parental leave poli