The gender wage gap in early-career family medicine results in female physicians earning nearly $32,000 less annually than their male counterparts, with significant lifetime financial impacts. Modeling this disparity over a 25-, 30-, and 35-year career reveals that, without interventions, female physicians could accumulate $2.0 to $4.4 million less than male physicians, underscoring the need for systemic changes to address gender-based pay inequities in the medical profession.