Abstract
<jats:p>The Observatory's 2025 Annual Report aims to monitor and promote gender equality in leadership in the public and private healthcare sector in Italy, using a methodology that combines quantitative and qualitative analysis tools. The picture that emerges is still uneven: there are still significant disparities in top management positions in public healthcare companies and at the highest academic levels in medical disciplines. In contrast, the private sector, particularly the pharmaceutical sector, shows greater balance. The full utilization of female talent requires profound cultural change and inclusive governance models: only in this way can healthcare companies evolve towards equal leadership, capable of generating value for the community.</jats:p>