Women have long held leadership roles in society and education, yet little attention has been given to the experiences of women student body presidents. We studied 20 women student body presidents at multiple four-year institutions to understand their experiences in student leadership. We found that these women felt extreme responsibility and pressure as president, focused on making positive changes for others and their campus communities, navigated complex gender expectations and environmental pressures, and gained significant confidence in their ability to lead. These findings suggest that given women's successes in elite leadership roles, institutions need to direct resources to encourage and develop women leaders among the student body, create more opportunities for women to hold leadership roles, and facilitate opportunities for engagement with other women already in leadership roles.