Nancy Pelosi’s challenges have intensified following her recent hip surgery. She now faces a primary challenge from Saikat Chakrabarti, former chief of staff to Rep. Alexandria Ocasio-Cortez, who cited Pelosi’s resistance to progressive leadership as his reason for running.

Pelosi, who has not confirmed if she will seek reelection in 2026, remains a dominant figure in her solidly Democratic San Francisco district. Meanwhile, her husband, Paul Pelosi, made $38 million in stock trades before Trump’s inauguration, renewing calls for congressional stock trading bans. He has also joined Tempus AI, whose stock surged after his investment.

As Pelosi recovers, her political future remains uncertain.