Examine the pressing issue of racial and ethnic disparities in elective orthopaedic procedures such as arthroplasty and spinal fusions. This comprehensive overview delves into the multifaceted reasons behind less frequent use of these surgeries by minority groups, the impact on health outcomes, and the crucial need for increased awareness among orthopaedic surgeons. Learn about the systemic approaches being advocated to address healthcare inequalities and the vital role of health systems in promoting equitable orthopaedic care.