The British Journal of Surgery (BJS) reported outcomes from a survey regarding experiences of sexual misconduct during surgery carried out by colleagues over the past 5 years in the UK. The authors reported misconduct ranging from sexual harassment to assault and rape which had occurred among colleagues in the surgical workforce. Female surgeons more commonly both witness and are targets of such acts. Moreover, there were indications that among female respondents, trust in various accountable organisations to handle sexual misconduct is low. Needless to say, these results are both distressing and very disappointing. Surgery remains a male-dominated and highly hierarchical speciality where harassment and bullying are prevalent. The most common scenario is when a junior female trainee is abused by a senior male perpetrator. The junior doesn’t report anything as the offender is often their supervisor and their future and career may suffer if they speak up. They also lack confidence that the NHS will take action.