Medical student Sara Phillips writes a personal reflection, grounded in scholarly literature, that details her exploration of racism as a mechanism for perpetuating disparities in maternal health outcomes. The piece traces discriminatory policies and actions undertaken by physicians and leaders in the field of obstetrics and gynecology to portray a historical origin for contemporary health inequities. Interacting with these grim stories and statistics, she reflects on what it means for her to seek out a career in OB/GYN to confront this prejudicial history and create a more just path forward.