Reported is the 20-year follow-up of 1,975 mathematically gifted adolescent
s (top 1%) whose assessments at age 12 to 14 revealed robust gender differe
nces in mathematical reasoning ability. Both sexes became exceptional achie
vers and perceived themselves as such; they reported uniformly high levels
of degree attainment and satisfaction with both their career direction and
their overall success. The earlier sex differences in mathematical reasonin
g ability did predict differential educational and occupational outcomes. T
he observed differences also appeared to be a function of sex differences i
n preferences Sos (a) inorganic versus organic disciplines and (b) a career
-focused versus more-balanced life. Because profile differences in abilitie
s and preferences are longitudinally stable, males probably will remain mor
e represented in some disciplines, whereas females are likely to remain mor
e represented in others. These data have policy implications for higher edu
cation and the world of work.