Efficiency Through Equity: Prioritizing Gynecologic Surgery to Improve Health System Performance

Gynecologic surgery is underserved in Canada, despite its volume and impact on health system performance, including the experiences of women surgeons and patients. Structural gender biases in reimbursement, scheduling and innovation contribute to long wait times, reduced surgical throughput and diminished quality of care. This editorial outlines five strategies to improve system efficiency: formal recognition of gynecologic surgery, compensation and scheduling reform, investment in inclusive surgical tools and infrastructure, primary care integration and public advocacy. Prioritizing gynecologic surgery is essential to achieving a high-performing, equitable Canadian health system.