This report examines the state of girls' and women's sport in the United States through a broad lens, looking at the triumphs, the challenges, and the tremendous opportunities that are yet to be realized. The areas of focus include sport participation opportunities for girls and women; the benefits of sport participation for girls and women; the barriers that limit and/or hinder participation; critical health and safety concerns of females in sport; Title IX and its ongoing role in supporting the infrastructure for equal access to sport participation for girls and women; the representation of women working in the sport industry and the climate they encounter while working in sport, including pay equity and equal treatment issues; the level and quality of sport media coverage of female athletes; and the representation of women working in sport media. The information presented draws upon both primary and secondary sources. A team of researchers conducted an extensive literature review of nearly 500 research studies and reports from scholars, sport governing bodies and public policy organizations; a review of public reports filed by colleges and universities, including selected lawsuits; and a review of media reports primarily spanning the time period between 2014-19 with the goal of identifying, gathering, analyzing, and reporting facts and findings that describe the realities for girls and women in sport in the United States. Using these findings, calls to action were developed that address perennial issues that have held girls and women back from participating and working in U.S. sport as fully enfranchised peers and colleagues of boys and men.