This article aims to contribute knowledge on how access to hierarchical networks of communication is constructed through organizational contexts associated with the gendered nature of feminized, caring work and masculinized, technical work, respectively. The article is based on interviews with 43 middle managers. Both men and women in male-dominated technical occupations and female-dominated caring occupations were interviewed. Eight interviews with politicians and strategic managers were also carried out. The results show that middle managers' access to hierarchical networks differs between feminized and masculinized contexts; hierarchical networks between organizational levels are common in male-dominated technical jobs, while such networks are almost non-existent in female-dominated caring occupations. The results illustrate how organizational conditions follow the gender segregation in organizations and the labour market and, further, how these contexts shape men's and women's access to hierarchical networks. The results also illustrate how the patterns of networks create and reproduce inequalities in sex-segregated organizations.