In a healthcare landscape under strain, balancing immediate member needs with a long-term strategic vision has never been more critical. Angie Knott, Executive Director of the Midwives Association of British Columbia, shares how she leads a profession facing burnout, staffing shortages, and under-recognition while championing parity of esteem, sustainable midwifery care, and stronger integration into the healthcare system. Drawing from her own leadership journey, she explains how people-centred strategies, clear priorities, and member engagement can turn challenges into opportunities and build a vibrant future for midwifery.