Nancy Pelosi is facing increasing challenges as she recovers from hip surgery, confronts a strong primary opponent, and deals with renewed controversy over her husband’s stock trades.

Saikat Chakrabarti, former chief of staff to Alexandria Ocasio-Cortez, has launched a progressive challenge against the longtime Democratic leader, saying the country needs “real solutions.” Known for helping craft the Green New Deal, he represents a push by progressives to move the party further left. Pelosi, who won easily in 2022, has not confirmed if she’ll run again, and her health and age—she is 84—are becoming part of the discussion.

After her surgery, Pelosi thanked her medical team but questions remain about her ability to maintain an active political career. Her choice to receive treatment abroad also drew attention, though she insists she is “in good health and focused on recovery.”

Meanwhile, Paul Pelosi’s $38 million in stock trades, including Apple and Nvidia sales and a profitable Tempus AI purchase, have reignited calls for a ban on congressional stock trading. Critics argue lawmakers and their spouses shouldn’t profit from potential insider knowledge.

With her health, a progressive challenger, and her husband’s controversy all converging, Pelosi faces a critical decision about whether to seek reelection in 2026.