Assessing the domino effect: Female physician industry payments fall short, parallel gender inequalities in medicine.

•The average payment per surgeon was $121,285- $62,101 to females and $131,252 to males.•Women in colorectal surgery, surgical oncology, general surgery and pediatric surgery, received higher payments.•Percent of payments to female surgeons had large variation-between 0.01% and 45.9%.