Abstract Aim The literature demonstrates an increased prevalence of breast cancer in female orthopaedic surgeons compared to the population baseline. One contributor to this alarming statistic may be exposure to frequent low-dose radiation inherent to orthopaedics. The British Orthopaedic Association (BOA) has emphasised the importance of wearing lead aprons that provide adequate coverage, especially of the axillary region in women. To assess the availability of vests that fulfil such criteria, an audit of the lead aprons available at our local adult tertiary centre was undertaken. Method Lead protective equipment used by the orthopaedic theatres were documented by type, size, and brand. Data collection occurred prior to theatre activity requiring lead use, to ensure all equipment was present. Results 115 pieces of equipment were identified - 43 standard vests, 9 tabard gowns with side coverage, 4 tabard gowns without side coverage, 48 skirts and 11 thyroid covers. Vests, skirts, and tabard gowns ranged from XS (n=4), S (n=21), M (n=15), L (n=46), to XL (n=12), unidentifiable size (n=6). Vests, skirts and tabard gowns ranged from several different brands including Xenolite Male (n=45), Xenolite Female (n=29) and Kenex (n=23). No boleros, high axilla vests, or vests with wings/sleeves/axillary shields, were identified. Conclusions This audit demonstrated inadequate adherence to BOA recommendations and a lack of size diversity. With increasing numbers of women in orthopaedics, there is a need to raise more awareness and address this safety concern to mitigate a larger concerning trend.