Despite significant strides in gender equity, the Nobel Prizes in STEM fields continue to exhibit glaring disparities in the recognition of women’s contributions to science. Thirty years ago, only 3% of Nobel laureates in science were women; today, that number has increased marginally to 4%, raising the critical question: Why “still” so few? This opinion piece examines systemic inequities and structural barriers that hinder the equitable acknowledgment of women’s and underrepresented groups’ contributions to science. Data reveal that while women now comprise a significant proportion of degree recipients and workforce entrants in fields such as biomedical research and chemistry, their representation among Nobel laureates remains disproportionately low. Furthermore, racial inequities exacerbate the lack of diversity, with no Black individuals receiving a Nobel Prize in STEM fields to date. The article advocates for transformative changes in academic and research ecosystems to dismantle the power structures and biases that sustain these inequities. It calls for intentional strategies to support, empower, and recognize women and underrepresented scientists, emphasizing the need for inclusive metrics of success. Drawing on personal experiences and the inspirational achievements of past women laureates, the author underscores the urgency of creating equitable pathways to scientific recognition. The piece concludes with a hopeful vision of a future where diversity and inclusion in Nobel recognitions reflect the rich talent and innovation present across all demographics in STEM.