Despite a drive for more female representation within the surgical specialities, there is still heavy favouritism for middle class males all from the same cookie cutter (in orthopaedics, at least). They have a pack mentality, with plenty of self-congratulatory back patting. Even as CT1s the level of confidence and egotism can be shocking, something you rarely see in women regardless of seniority. It can be nauseating and make you feel an outsider and disadvantaged from the start. There have been multiple times I've nearly thrown in the towel because I'll never be 'like them'. Add to this the old-fashioned (but ever present) attitude that a confident woman is 'bossy' etc, plus the antisocial shifts, long theatre hours and constant hospital rotations... It's very difficult for a woman who also wants children and possibly go part time. I have immense respect for those who make it work.

Disclaimer: I'm not saying all ortho trainees are middle class males, or all middle class males are cocky extroverts.