Chapter 11, “Women in Leadership,” examines theoretical, systems, and institutional gender issues in the workplace. If health and human service organizations make it difficult for women to be promoted, they will continue to turn down leadership opportunities. Currently, the system makes it almost impossible to accommodate lifestyle choices and demands. Many organizations acknowledge the importance of work–life balance and can tie the benefits to a healthier workforce. Yet, women still report feeling guilty for putting their family ahead of work, while employees who put work ahead of family are acknowledged for their dedication and loyalty. This chapter discusses how social architects can create more leadership opportunities for women and notes that the existing patriarchal power models must be broken down and rebuilt in a form that promotes unity without sexism and has the support of all groups.