This study sought to compare the brachial and carotid hemodynamic response to hot water immersion (HWI) between healthy young men and women. Ten women (W) and 11 men (M) (24±4 y) completed a 60 min HWI session immersed to the level of the sternum in 40°C water. Brachial and carotid artery hemodynamics (Doppler ultrasound) were measured at baseline (seated rest) and every 15 min throughout HWI. Within the brachial artery, total shear rate was elevated to a greater extent in women (+479 [+364, +594] sec-1 than men (+292 [+222, +361] sec-1) during HWI (P = 0.005). As shear rate is inversely proportional to blood vessel diameter and directly proportional to blood flow velocity, the sex difference in brachial shear response to HWI was the result of a smaller brachial diameter among women at baseline (P < 0.0001) and throughout HWI (main effect of sex: P < 0.0001) and a greater increase in brachial velocity seen in women (+48 [+36, +61] cm/sec) compared to men (+35 [+27, +43] cm/sec) with HWI (P = 0.047) which allowed for a similar increase in brachial blood flow between sexes (M: +369 [+287, +451] mL/min, W: +364 [+243, +486] mL/min, P = 0.943). In contrast, no differences were seen between sexes in carotid total shear rate, flow, velocity, or diameter at baseline or throughout HWI. These data indicate the presence of an artery-specific sex difference in the hemodynamic response to a single bout of HWI.