Matilde Hidalgo de Procel was the first woman to graduate from high school in Ecuador, the first woman to vote in a South American election, and the first woman to hold elected office in her country. She went on to become the first woman to graduate from medical school in Ecuador, obtaining her doctorate in medicine in 1923. Throughout her career, she broke numerous gender barriers and held several "firsts" for women in Ecuadorian politics, including being the first elected councilwoman and first elected public administrator in Loja, Ecuador. She received many honors and awards for her contributions to public health and women's rights in Ecuador before passing away in 1974 at the age of 85.