Code reviews are a critical aspect of open-source software (OSS) development, ensuring quality and fostering collaboration. This study examines perceptions, challenges, and biases in OSS code review processes, focusing on the perspectives of Contributors and Maintainers. Through surveys (n=289), interviews (n=23), and repository analysis (n=81), we identify key areas of alignment and disparity. While both groups share common objectives, differences emerge in priorities, e.g, with Maintainers emphasizing alignment with project goals while Contributors overestimated the value of novelty. Bias, particularly familiarity bias, disproportionately affects underrepresented groups, discouraging participation and limiting community growth. Misinterpretation of approach differences as bias further complicates reviews. Our findings underscore the need for improved documentation, better tools, and automated solutions to address delays and enhance inclusivity. This work provides actionable strategies to promote fairness and sustain the long-term innovation of OSS ecosystems.