Former House Speaker Nancy Pelosi, 84, was seen using a walker on the House floor during Monday’s joint session of Congress to certify President-elect Donald Trump’s 2024 election victory. The sighting comes weeks after Pelosi underwent hip replacement surgery following a fall during a bipartisan congressional delegation (CODEL) trip overseas.

Pelosi suffered the injury in Luxembourg last month, fracturing her hip after losing her footing on a marble staircase. She underwent surgery at Landstuhl Regional Medical Center in Germany with the assistance of U.S. military medevac support. Rep. Michael McCaul (R-TX), who was with Pelosi during the incident, recounted that she fell while wearing her signature high heels on a staircase without a railing.

Despite her recent surgery, Pelosi returned to Capitol Hill, emphasizing her commitment to representing her San Francisco constituents. Last week, she posted a video to social media announcing her travel to Washington, though her slurred speech and visibly strained appearance raised questions about her health.

Pelosi’s use of a walker highlights the physical challenges she faces while continuing her long political career. The incident marks the latest in a series of health-related setbacks for the former speaker, who remains a prominent figure in the Democratic Party.

Pelosi’s resilience, including taking a photo with colleagues immediately after her injury, has drawn both praise and scrutiny as she navigates her recovery and public duties. The 84-year-old’s determination to remain active in Congress reflects her enduring influence in the House, even as her health limits her mobility.