Surgeons should know that flexibility stigma hinders resident well-being and family formation.

• 28 residents reported feeling pressured to avoid work-life accommodations to maintain their reputation.
• Trainees often faced a “double bind,” balancing career expectations with parenting and personal health needs.

Addressing these cultural barriers within residency programs is crucial for supporting trainees and improving outcomes.

• Structural changes in scheduling and policy communication can enhance the training environment for pregnant and parenting residents.