The objective of this study was to identify some of the reasons why women r
eject surgical careers, and to suggest actions which might reverse that tre
nd. The subjects were new entrants to medical school, third-year medical st
udents and pre-registration house officers (PRHOs) at the Medical School of
Newcastle-upon-Tyne, Method: A cross-sectional descriptive survey, using a
self-administered questionnaire. Results: Of 247 females surveyed, 99 (40%
) had rejected surgical careers, mainly because of 'personal preference'. W
omen saw such careers as unfavourable to them, largely because of a percept
ion of male bias. No more than 10% of females in each subject group had sur
gical role-models, The perceived quality of teaching and friendliness of co
nsultants had a significant influence on career decisions, Conclusions: Wom
en reject surgical careers because of perceptions of 'male bias' and 'negat
ive attitudes'. An increase In the number of surgical role models among wom
en could improve this situation, as could apparent enthusiasm for teaching
and enjoyment of their specialty by consultants.