Serena Williams has been named the 2018 Associated Press Female Athlete of the Year. This is the fifth time that the all-time tennis great has been given this honor (2002, 2009, 2013, 2015). Willaims stood tall in the face of adversity all year long.

Williams received 93 points in balloting by U.S. editors and news directors announced Wednesday, while gymnast Simone Biles was second with 68. Notre Dame basketball player Arike Ogunbowale was third, while Olympic snowboarder Chloe Kim and swimmer Katie Ledecky, the 2017 winner, rounded out the top five.

This year, the 37-year-old did not win a single tournament. However, in pursuit of her 24th Grand Slam singles title, she did reach the finals of both Wimbledon and the U.S. Open, where she lost to Angelique Kerber and Naomi Osaka, respectively.

This one was about her perseverance. Williams had a roller coaster 2018 but never made any excuses while handling her business.

Williams developed blood clots after giving birth to daughter Alexis Olympia Ohanian Jr. on Sept. 1, 2017, and four surgeries would follow. She returned to the WTA Tour in March and played in just a pair of events before the French Open, where she competed in a skin-tight, full-length black catsuit.

2018 was about the comeback for Serena. 2019 will be about reclaiming the throne.