Nancy Pelosi is facing mounting political and personal challenges as she navigates a turbulent period in her career. Following an emergency hip replacement surgery after a fall in Europe, concerns over her health have intensified, with recent images showing her using a walker on the House floor.

At the same time, she now faces a primary challenge from Saikat Chakrabarti, a progressive former aide to Rep. Alexandria Ocasio-Cortez, who argues that Pelosi’s leadership is outdated and out of touch with modern America.

Adding to the controversy, Pelosi’s husband, Paul Pelosi, is under scrutiny for executing multimillion-dollar stock trades, including transactions in tech and AI sectors that have sparked allegations of insider trading. His recent appointment to Tempus AI and subsequent stock purchases have only fueled calls for stricter oversight on congressional financial dealings.

With these compounding issues—her health concerns, an intra-party challenge, and ethical questions surrounding her husband—Pelosi’s political future remains uncertain, prompting speculation about whether she will seek reelection in 2026 or step aside for a new generation of leadership.