This study examines racial and ethnic disparities in the use of general anesthesia for cesarean delivery. The research, conducted at Northwestern Medicine's Prentice Women's Hospital, analyzed data from 35,117 patients who underwent cesarean deliveries between January 1, 2007, and March 2, 2018. The findings indicate that Black and Hispanic patients had higher rates of general anesthesia use compared to non-Hispanic White patients (5.0% vs. 2.5% for Black patients, 3.7% vs. 2.8% for Hispanic patients, and 3.8% vs. 2.8% for non-Hispanic White patients). However, among laboring patients with an epidural catheter in situ, there were no significant differences in the rates of general anesthesia use by race or ethnicity (P = .16). The study suggests that the use of neuraxial labor analgesia may mitigate racial or ethnic disparities in the use of general anesthesia for cesarean delivery. Future research should focus on identifying and addressing the underlying causes of these disparities.This study examines racial and ethnic disparities in the use of general anesthesia for cesarean delivery. The research, conducted at Northwestern Medicine's Prentice Women's Hospital, analyzed data from 35,117 patients who underwent cesarean deliveries between January 1, 2007, and March 2, 2018. The findings indicate that Black and Hispanic patients had higher rates of general anesthesia use compared to non-Hispanic White patients (5.0% vs. 2.5% for Black patients, 3.7% vs. 2.8% for Hispanic patients, and 3.8% vs. 2.8% for non-Hispanic White patients). However, among laboring patients with an epidural catheter in situ, there were no significant differences in the rates of general anesthesia use by race or ethnicity (P = .16). The study suggests that the use of neuraxial labor analgesia may mitigate racial or ethnic disparities in the use of general anesthesia for cesarean delivery. Future research should focus on identifying and addressing the underlying causes of these disparities.