Purpose: In recent years, Australian medical schools have achieved gender parity among graduates. Reflecting a broader trend toward equal gender representation in medical education and training. However, despite this parity at the educational level, disparities persist in surgical specialties, having lower female representation. Surgical junior doctor years are instrumental in a medical professionals' experience of various specialties and in choosing a career path. This study aimed to analyse the gender split among South Australian surgical resident junior doctors and identify trends that could inform strategies to enhance gender equity in surgical training. Methodology: data over a ten-year period from all the hospital networks in the state were retrospectively analysed to assess percentage of female doctors in the surgical resident medical officer (RMO) program. Result: The data revealed a consistent male predominance among surgical RMOs over the study period, with varying trends throughout the state’s public hospital system over the last decade. There was a difference between networks in split of genders with one network consistently showing a higher proportion percentage of female identifying surgical medical officers. Conclusion: The gender distribution of surgical RMOs in the South Australian hospital system highlights persistent disparities, with limited progress toward gender equity over the past decade. These findings highlight the need for targeted initiatives to attract and retain female surgical trainees, fostering a more inclusive and representative surgical workforce.