This position paper was commissioned by PETRA to look at the relationship and links between trade policies and health inequalities. The paper highlights the lack of knowledge around the impact of trade and investment agreements on geographic disparities in life expectancy and considers the evidence for creating policy coherence between health and trade. The author concludes that, although there is currently a limited body of evidence for impacts on different social groups, trade-related health risks and the effect on health inequalities are predictable possibilities that are dependent on political situations.