There are significant racial disparities in access to and outcomes of assisted reproductive technology (ART). Studies have shown that Black women are more likely to experience infertility, yet they are underrepresented among women who receive infertility care. Additionally, research indicates that Black women have lower success rates with in vitro fertilization (IVF) cycles than White women. It is evident that race is an independent predictor of live births following IVF for fresh, frozen-thaw, and third-party donor egg cycles. The reasons for these disparities may include limited and delayed access to care due to socioeconomic barriers, limited insurance coverage, bias, structural and systematic racism, and clinical factors such as differences in overall health and disease risk burden. Addressing these disparities will require an intentional multipronged approach to narrow this gap in family building.