SummaryIn the past, female physicians, especially cardiologists, were a rarity. The first physicians were officially trained only at the end of the 19th century. In the last decades of the 20th century, the number of women in medicine increased tremendously; however, the number of female cardiologists has remained low, especially in invasive cardiology. The reasons include the invasive character of the work, workload and radiation exposure. The number of cardiologists must increase further: we need more women and men in cardiology. With excellent mentoring, part-time fellowships and part-time staff positions, as well as group practices and better prevention of radiation exposure, the percentage of women will hopefully increase in the future. The presence of women in cardiology is not an utopia but is required for better care of patients. For best care, both male and female cardiologists working together and speaking the same language are needed.