An article by Tiffany Nassiri-Ansari and colleagues looks at the decolonization of innovation in women's health and explores how a decolonial feminist approach could lead to greater gender equality and health justice[1]. The contribution is part of a global initiative of the BMJ Collection, which, in partnership with the Gates Foundation, is mapping the way to closing the gap in women's health[1]. The collection includes contributions from experts from 14 countries on six continents and explores how advances in data science, artificial intelligence, regulatory reform and women's leadership can improve health outcomes[1]. The article emphasizes that women should be the architects of innovations in healthcare, not just their beneficiaries[1]. The initiative focuses on six areas including research, study design, policy, social determinants of health, leadership and career opportunities[1]. According to the editorial leadership of the collection, continued support from governments, civil society, philanthropy and the business sector is needed to sustain this pace of innovation[1].