This paper critically examines how women employed in artisanal and small-scale mining (ASM)–low-tech mineral extraction and processing–in sub-Saharan Africa could be affected by moves made to formalize and support their activities under the Africa Mining Vision (AMV), ‘Africa’s own response to tackling the paradox of great mineral wealth existing side by side with pervasive poverty’. One of the main goals of the AMV is Boosting Artisanal and Small-Scale Mining, which requires signatories to devise strategies for ‘Harnessing the potential of small scale mining to improve rural livelihoods and integration into the rural and national economy’. Moves being made to achieve this, however, could have an adverse impact on many of the women working in ASM in sub-Saharan Africa. Findings from the literature and research being undertaken by the authors in Sierra Leone and Zambia suggest that whilst most women engaged in ASM in the region work informally and, as a result, face very challenging circumstances daily, many have adapted to their surroundings and now earn far more money than they would from any other income-earning activity. Governments must study these dynamics before taking action under the auspices of the AMV to formalize and support women in ASM.