Background: Socioeconomic and racial disparities in access to medical care have been shown to impact the morbidity and mortality of patients with surgically managed conditions. Primary Hyperparathyroidism (PHPT) is cured only by parathyroidectomy. Limited data exists examining the role of racial and socioeconomic disparity on surgical referral. Methods: Patients carrying a diagnosis of PHPT between the years of 2000–2017 were identified through the National Inpatient Sample (NIS) database. A Chi Square analysis was used to compare categorical variables and a logistic regression model with odds ratios was used to identify social predictors of surgical management. Only patients with APR-DRG Severity of Illness classifications of mild/moderate were included in the analysis, excluding patients with severe comorbidities precluding surgery. Results: 78,520 patients were included. 75% were female. 14% were Black and 6% were Hispanic. 77% underwent parathyroidectomy. In this analysis, no statistically significant difference in odds of surgery was observed in White vs. Black patients. Hispanic patients were more likely to undergo operation than White patients (OR 1.22 [1.02–1.47] p