The objective of this research was to explore the underlying reasons for the underrepresentation of women in leadership positions in higher education in the province of Khyber Pakhtunkhwa (KP), Pakistan. Women's leadership is more prevalent in developed countries, while it is significantly lacking in developing countries. The KP province of Pakistan is experiencing a significant lack of female leaders in higher education due to the combination of various reasons. Uncovering the underlying factors and difficulties would not have been feasible without employing qualitative research methods and utilizing a case study methodology. This approach was necessary as each leader has a wealth of information pertaining to their personal experiences, education, job, and so forth. Data was collected from nine participants in the study using a case study design. The selection of these participants was based on factors such as their seniority level, familial support, organizational policies, and urban and rural variations. Interviews were conducted as the main means of data gathering through online platforms. The study employed an intersectional framework to examine how cultural factors impact the lives of women in the KP region. Specifically, it focused on the experiences of women in terms of family support, organizational policies, and the disparities between urban and rural areas. Crenshaw's (1989) concept of intersectionality provided a unique perspective on the challenges faced by women in KP, Pakistan with regard to their leadership roles in higher education. The data revealed several significant themes. The main themes included family support, organizational rules and processes, and urban and rural disparities regarding the underrepresentation of women in leadership positions in KP higher education. The study focused on places where people experienced support or oppression based on their intersectional individual level statuses, such as geographical location (rural vs. urban), familial support, and organizational policies and procedures. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]