This medical paper examines the challenges older women face when undergoing percutaneous coronary intervention (PCI) for coronary artery disease. The authors highlight that older women are less likely to receive evidence-based treatment despite experiencing a higher risk of adverse events due to their unique physiological and anatomical differences. The paper discusses the limitations of current risk stratification tools in accurately assessing older women’s risk, and emphasizes the need for tailored procedural techniques and patient-centered care approaches. Furthermore, it calls attention to the limited research available on older women and the need for increased representation in clinical trials.