With billions in public and private investments in the Buffalo Niagara Medical Campus and Governor Cuomo’s historic “Buffalo Billion” investment in economic development, the city of Buffalo is poised for resurgence. Yet persistent racial inequities in health, wealth, and economic opportunity inhibit the city’s growth. Without a change in course, these inequities will take a heavy toll on the city as immigrants and communities of color grow as a share of its population and workforce. Equity—just and fair inclusion—is the key to sustainable economic recovery and growth in the Queen City. To build a Buffalo economy that works for all, city and regional leaders must commit to putting all residents on the path to good health and economic security, through protections and policies that enable existing residents to stay in the city and connect to jobs and opportunities, and ensure that they benefit from new development.