Surgical intervention for liver metastases in colorectal cancer is underutilized among disadvantaged groups, impacting outcomes.

• Only 18% of analyzed patients received hepatectomy or ablation, with non-Hispanic Black and Hispanic/Latino patients 17% less likely to undergo intervention.
• Patients at academic centers were 2.24 times more likely to receive surgical treatment than those at community programs.
• Higher insurance status and income correlate with increased odds of receiving intervention.

Addressing these disparities is crucial for improving surgical outcomes and equity in treatment access.