Donor oocytes are one of the few fertility treatment options available to patients who cannot use their own oocytes due to advanced age or unsuccessful attempts at autologous treatment. Despite increasing acceptance of donor oocyte treatment, the racial make-up of the donor oocyte pool does not reflect that of the recipients. Current data demonstrates that most recipients desire a racially concordant donor oocyte; however, Black and Hispanic/Latinx recipients find fewer racially concordant options and experience suboptimal pregnancy outcomes after donor oocyte use. Asian donors are often overrepresented in the donor oocyte pool with respect to the recipient population. Future research should aim to improve recruitment of racially diverse oocyte donors, develop culturally competent approaches to donor oocyte acceptance and utilization, and further investigate the persistent disparities in fertility treatment outcomes after donor oocyte use in minority groups.