The episode traces the rapid growth of the International Orthopaedic Diversity Alliance, from a small 2019 network to a global organization shaping equity initiatives across continents. Dr. Jennifer Green outlines evidence showing persistent disparities in access, treatment, and training, emphasizing that diversity directly improves decision-making, innovation, and patient outcomes. Through mentorship, sponsorship, leadership engagement, and a new international charter, IODA aims to broaden representation and dismantle long-standing structural barriers while empowering individuals to drive change locally within their own departments and communities.