Many transplant professionals have reported challenges related to gender, sexual orientation, or racial background in their work environment, or experience inequities involving access to leadership positions, professional promotion, and compensation.1,2 These circumstances often become a major source of work-related stress and burnout. Similarly, despite decades of research and evidence-based mitigation strategies, disparities in access to transplantation persist for all organ types and at all stages of the transplant process. A conference held in Toronto, Canada, on September 13–14, 2024,3 identified key challenges faced by transplant providers and patients by gathering international transplant leaders, clinicians, nurses, researchers, and patients across organ groups. This Conference was endorsed by multiple International Transplant Societies (see Acknowledgments). The following are the key discussions of this meeting and recommendations by the experts.