Although a growing body of research addresses the obstacles to women's sustainable careers, little is known about how women managers build sustainable careers. This research contributes to the sustainable career framework by conceptualizing the career sustainability of women managers as a narrative accomplishment. The study includes interviews with eighteen women managers, nine Pakistani and nine Dutch. Five narrative approaches to career sustainability are identified: reinventing, proactive, self-made, devoting, and realigning. Each narrative approach provides a unique perspective on careers based on meaning-making, work-life balance priorities, and the degree of context dependence, resulting in distinct challenges to career sustainability. We also discuss implications for future research and practice.