A qualitative study examining the healthcare experiences of Māori and Pacific patients with cardiovascular disease has highlighted the need for culturally aligned care and interventions that address systemic barriers to care. A total of 105 participants (patients, whānau and kaimahi/healthcare workers) who were engaged with cardiovascular services at a primary or secondary care level shared their experiences at four regional hui. Key themes identified were: 1) importance of whānau/community; 2) the need for providers to engage with patients at their level; 3) persistent barriers faced; 4) strong commitment to protecting Māori and Pacific communities and kaimahi.