The current landscape of gender-based inequity and everyday sexism experienced by women-identifying paramedics has been under intensified scrutiny over the past decade.1,2 Empirical research, organisational culture scans and advocacy from special interest groups have collectively pushed the profession into a stage of confrontation with its cultural shortcomings.3–5 Yet, despite the depth and clarity of evidence, the pace of structural change continues to lag behind compared with implementing other evidence-informed priorities within the profession. Priorities reflect values. Recognition is not enough; now is the time to move from conceptual commitments to practical action, and from awareness to accountability in order to eradicate everyday sexism and gender-based violence in paramedicine.