Background: Exploring current trends in career outcomes can guide further expansion and diversity in neurosurgery demographics, as well as inform medical trainees of qualifications required for a career in neurosurgery. This study therefore aims to explore temporal trends and gender distribution in training, teaching, and leadership positions among currently practicing neurosurgeons. Methods: A list of practicing Canadian neurosurgeons and their certification year, degrees, fellowships, and teaching positions was created using publicly available information and phone/email confirmation by surgeons. Results: We identified 297 neurosurgeons currently practicing in Canada (F=32, M=265). There was a significant trend towards a greater number of neurosurgical staff having at least one advanced degree or fellowship over time (p=0.0012, p=0.0048 respectively), with no significant difference between proportions of males and females. Within academia, women represent 33% of adjunct professors, 8% of associate professors, and 15.2% of full professors. Two neurosurgical departments in Canada are led by women. Conclusions: Literature shows there is an underrepresentation of women in neurosurgery, particularly in higher-ranking teaching and leadership positions, yet our results suggest there is no significant differences in qualifications between males and females. Further exploration is needed to identify reasons underlying these trends and propose solutions to promote growth in the field.