To the Editor In their recently published cohort study, Jagsi and colleagues¹ reported an important finding that Black women were significantly less likely to have their pain during radiotherapy recognized by clinicians compared with their White peers. The authors appropriately recognize this finding as unsurprising in light of well-known racial and ethnic disparities in both pain assessment and treatment in the US.² We thank the authors for their contributions and in-depth discussion on the multitude of factors that drive racial and ethnic disparities in symptom appraisal and suggestions to improve equity, including engagement of the interdisciplinary team to optimize cancer care and symptom management.