The assertion that all proper classes are equinumerous is equivalent over GBc class theory to the axiom of global choice, which is the assertion that there is a global well-ordering of the universe of sets.
Namely, if all proper classes are equinumerous (that is, have the same size), then in particular, the class of all sets $V$ is equimumerous with Ord, the class of ordinals, and this implies global choice. Conversely, if global choice holds, then all classes are equinumerous with Ord. I wrote a blog post, The global choice principle in Gödel-Bernays set theory explaining several further equivalent formulations of this principle.
The assertion that all proper classes are equinumerous is also known as the axiom Limitation of Size. Some people take this as one of the axioms of Gödel-Bernays set theory. I have criticized this axiom, however, on the grounds that we seem to have no convincing justification for it, specifically, that stands apart from the justifications that we might have for the replacement axiom and the global choice principle. Basically, the so-called Limitation of Size axiom is simply a method of combining two axioms into one statement. But I see no reason or advantage in doing that, and so I prefer to consider the replacement axiom and global choice axioms separately.
Meanwhile, one might mention that global choice cannot be proved in the theory GBc, which is Gödel-Bernays set theory but only with the axiom of choice for sets and not global choice. For example, there is a model of ZFC set theory in which the universe cannot be linearly ordered. By taking definable classes, one gets a model of GBc without global choice.