Boitano TKL, et al. - Among Black women (BW) and White women (WW) in a large academic Gynecologic Cancer Risk Assessment Clinic, researchers looked for the differences in referral patterns, genetic testing and pathogenic variant rates between these two populations in this cross sectional study of an IRB-approved prospective, cohort study. The likelihood of referral for a known pathogenic variant was more and for a personal history of ovarian cancer was less in BW. More BRCA2 mutations were present in BW. Findings revealed that the chance of referral by surgical oncology or genetics counselor was more in BW, therefore, breast clinics might be an entry point to ensure genetic counseling and testing. The detection of the subset of women not currently undergoing counseling and testing could be possible via continued efforts to enhance awareness about the significance of patient referral at the primary care level.