Systemic changes are needed to facilitate integration of Rongoā Māori into mainstream healthcare, including the development of clear referral pathways and initiatives to raise awareness among healthcare professionals, according to a qualitative study involving interviews with Rongoā practitioners and surgical clinicians. Findings revealed that surgical clinicians have a deep respect for Rongoā Māori, but there are significant systemic barriers impeding integration, including challenges with bureaucracy and no clear referral pathways. Concern was expressed by Rongoā practitioners about a lack of awareness from healthcare professionals and being overlooked within the healthcare system. However, there was a shared interest in collaborative approaches to healthcare that respect and incorporate Rongoā Māori.