Disparity in healthcare is an important and timely topic. One example of such disparity appears to be the disproportionate use of lighter skin tone illustrations in surgical educational material. Visual representation of pathology in instructional material is one key element that informs decision making in surgical disease and could contribute to disparity in outcomes in underrepresented tonal groups. Our hypothesis is that visual examples of clinical pathology in surgical texts are biased as they are weighted to Caucasian skin tones and don’t accurately represent the racial distribution in the US population.