In 2025, the field of Antibody-Drug Conjugates (ADCs) for gynecological tumors entered a critical period of target refinement and clinical translation. Vedetuximab was approved for the cervical cancer indication, while research on classic targets such as HER2 and FRα added significant new data. Breakthroughs were made in the exploration of novel targets, and domestic expert consensus was simultaneously established, marking the transition of this field from clinical exploration to standardized application. Obstetrics and Gynecology Network invited Professor Zhou Jinhua from the First Affiliated Hospital of Soochow University to systematically review the year's core progress and look ahead to the future direction of the field from three dimensions: the development history of ADCs, target exploration, and future innovations, providing professional reference for clinical diagnosis and treatment.