The original article presents a longitudinal analysis of Senegal’s medical workforce, noting persistent gender disparities. This commentary situates these findings within the wider discussion on gender equity in medical practice across Sub-Saharan Africa. This commentary aims to critically analyse the article’s findings on gendered career trajectories in Senegalese medicine. It explores the socio-cultural and institutional factors that sustain inequity and assesses the efficacy of recent policy measures. As a commentary, it employs a discursive analysis. It synthesises the original article’s quantitative data with qualitative insights from literature on gender in African medical professions to build a critical argument. Key insights: A significant vertical segregation is identified. Although female medical student enrolment has risen, women remain profoundly underrepresented in senior academic and surgical specialty posts. A key theme is the compounded effect of familial expectations and absent institutional support structures. Despite measurable progress in women entering the medical profession in Senegal, deep structural barriers continue to limit equitable career advancement. Achieving parity requires addressing entrenched institutional cultures, not merely numerical representation. Implement targeted mentorship programmes for early-career women, reform promotion and leave policies to be more gender-sensitive, and conduct further qualitative research on the experiences of Senegalese women in medical leadership. Gender equity, Medical workforce, Senegal, Sub-Saharan Africa, Career progression, Health policy This commentary provides a critical synthesis for policymakers and academic institutions, linking empirical workforce data to the structural reforms needed for gender equity in Senegalese medicine.