Purpose Surgical training is shifting from measuring progression by time towards acquisition of competencies. This creates opportunities for trainees to pursue Less-Than-Full-Time (LTFT) training. By accommodating diverse trainee needs, including research or family commitments, LTFT training can promote an inclusive environment that supports gender equality and allows for individualised learning. Methodology Virtual semi-structured interviews were conducted with nine surgical trainees at varying levels of career progression (3 SET registrars, 6 in pre-training roles). All participants had experience of LTFT or training interruption. Deidentified transcripts were obtained by trained researchers. Data were analysed thematically as described by Fusch and Ness. Results Qualitative analysis identified three themes related to the transition from non-specialty training to surgical subspecialty roles and how trainees in LTFT roles approach their careers: 1.Gender roles shape training and lifestyle decisions 2.Senior trainees prioritise surgical skills acquisition over lifestyle 3.Career progression concerns deter trainees from flexible training Conclusion Our findings highlight the need to address gender biases within training structures, provide tailored support throughout different career stages, and ensure pathways into SET training give sufficient opportunity for all applicants to acquire robust references and surgical competencies. Gender disparities persist in surgical training, particularly for women balancing career and family. The expectations of training requirements, and time commitments were difficult for all trainees to accommodate. While senior trainees prioritise skill acquisition over lifestyle, concerns about career progression deter more junior trainees from flexible training. Reform of existing models of vascular surgical selection and training is required, to focus on competency acquisition, accelerated progression, and trainee wellbeing.