To the Editor We have read with great interest the article by Wallis et al1 on the association between sex and operational outcomes. We look forward to sharing our opinions.
First, female surgeons may not receive fair evaluation for the actual levels of their achievements. A study revealed that female trainees received lower overall mean milestone scores than male trainees during general surgery training.2 However, the study by Wallis et al1 has proved that female individuals may have better clinical performance. It suggests the high possibility of potential bias in the current assessment process that may need more awareness.