Women urologists have children later in life, a smaller number, a higher induction rate, and ahigher incidence of pregnancy complications. These are likely related to the older age at pregnancy,which certainly contributes to the higher number conceived by assisted reproductiontechnology. Cesarean delivery rates, which were expected to be higher, were similar. To avoidcomplications, childbearing should not be delayed, and residency programs and practice groupswill need to develop programs that support the growing number of women urologists. ( J AmColl Surg 2009;208:293–297. © 2009 by the American College of Surgeons)