Gender equality is a cornerstone of Swedish society. It means that women and men have the same opportunities, rights and obligations in all areas of life and can be seen as part of the social dimension of sustainable development. The definition implies that women and men can work and support themselves, combine work and care of children on the same terms and that neither sex in a relationship need to worry about being subjected to abuse or violence. In Sweden equal opportunities has been on the agenda for the past decade and beyond. Despite the Equal Opportunities Act (1991:433), people still experience disadvantages, especially in the labour market. Although Sweden has come a long way in making sure that women and men are treated equally in the workplace there are few countries with so obvious gender based occupational segregation. Within Swedish health- and medical care for example 81 per cent of the employees are women. The majority of those work in a hierarchical structure where the lower and intermediate levels primarily are comprised of women. With this point of departure we have studied the construction of gender equality in every day meetings between women and men working in health- and medical care. By studying the perspective of equality and by adding gender theories we have been able to focus on the domination process.