Purpose This investigation examined the challenges faced by women in leadership positions in the US construction industry. The overall purpose of this study was to gain a better understanding of the challenges, and identify suitable practices, strategies and suggestions to support the employment and retention of women in the US construction industry. Design/methodology/approach Using a qualitative approach, the authors distributed a survey to the target audience composed of women leaders in the US construction industry, and 14 participants completed the survey. Findings The outcomes of the study revealed the following challenges: negative perceptions of women in the industry manifested through discrimination and hostility; a stressful work environment that does not promote a good work-life balance; and a lack of role models that impacts women’s retention and career development in the construction industry. Originality/value This study discusses possible strategies and recommendations for women in construction to rise through the ranks of power within the industry.