Women make up nearly 50 percent of college students across the nation. However, per the 2017 American College President Study, women account for less than 30 percent of college presidents. Within the Minority Serving Institution (MSI) sector, the numbers are even smaller. Of the over 650 MSIs, less than 12 percent are led by women presidents. This report highlights strategies for effective presidencies while also sharing the opportunities and challenges that women often face while serving as college and university presidents, and especially while serving at MSIs.