Female physicians are often told they can “have it all”—but no one talks about the timeline it actually takes to get there. In this episode, we unpack the reality that women in medicine do have to plan for having children, and how medical training, residency, and institutional policies make that planning unnecessarily difficult. From fertility, pregnancy, and parental leave to the quiet pressure to delay or downplay motherhood, we talk honestly about a system that was never designed with female physicians in mind—and what needs to change.