The promotion of gender equity has emerged as a muchdiscussed topic in radiology. Women now represent the majority of medical school matriculants in the United States [1], but the proportion of women practicing radiology has remained relatively stable at approximately 25% since 2012 [2]. Among radiologists, 30% of women and 10% of men work part-time [3], with women increasing in part-time preference at a slightly greater rate than men. Pediatric radiology, however, is the rare subset of diagnostic radiology in which there is a similar distribution of men and women, based on survey data [4] and a count of members with a public directory entry in the Society for Pediatric Radiology (SPR) online database [5]. In this paper we identify gender-related leadership trends in pediatric radiology while indicating areas of potential improvement. We also discuss strategies to meet the goal of increasing female presence in radiology and radiology leadership.