She is also the first Black woman of any nationality to win multiple individual World Championship medals in gymnastics.

Born in Entebbe, Uganda, Okino moved to the United States with her family and began gymnastics at the age of 9.

She placed second in the all-around and won the balance beam title at the 1990 U.S. Nationals; and represented the United States at several major international meets, including the Goodwill Games, where she won a silver medal with the American team and finished fourth in the all-around and uneven bars finals.

She has performed with SeaWorld and has appeared in many television shows and films, including Moesha, The District, Sabrina the Teenage Witch, Æon Flux and Everybody Hates Chris.

Currently Betty lives with her husband in southern California where she teaches dance, choreography and artistry as part of the USAG National Staff, is a sought after motivational speaker, and also owns and operates Betty O Choreo which provides gymnastics camps, clinics and choreography around the world.