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We are facing interwoven global threats to public health and ecosystem function that reveal the intrinsic connections between human and wildlife health. These challenges are especially pressing in cities, where social-ecological interactions are pronounced. The One Health concept provides an organizing framework that promotes the health and well-being of urban communities and ecosystems. However, for One Health to be successful, it must incorporate societal inequities in environmental disamenities, exposures, and policy. Such inequities affect all One Health interfaces, including the distribution of ecosystem services and disservices, the nature and frequency ofhuman–wildlife interactions, and legacies of land use. Here, we review the current literature on One Health perspectives, pinpoint areas in which to incorporate an environmental justice lens, and close with recommendations for future work. Intensifying social, political, and environmental unrest underscores a dire need for One Health solutions informed by environmental justice principles to help build healthier, more resilient cities.