Improved communication and understanding of cultural needs is needed within healthcare services involved in the secondary care of lung cancer in Māori communities. A kaupapa Māori approach was used to carry out 9 community hui and 9 primary healthcare provider hui in 5 rural localities in the Midland region of New Zealand. Barriers and enablers in specialist services and treatment related to access to care, engagement with specialists, communication with specialist services and cultural values and respect. Barriers and enablers in the whānau journey related to agency and the impact on whānau. Findings also highlighted the active efforts made by whānau to foster health literacy in future generations.