Mainstream New Zealand health providers struggle to engage Māori and Pasifika elders effectively. As a result, their quality of life is often compromised. The purpose of this study is to investigate what is needed to encourage Māori and Pasifika participation in health services that can improve wellness. The research question asks: What are the barriers to Māori and Samoan elderly participation in mainstream health services? A mixed methodological approach predicated on Māori and Pasifika paradigms underpins the research process. The qualitative, in- depth interviews provide an opportunity for kaumātua and elderly Samoans to articulate their views. The consensus is that the integration of cultural beliefs and values empower elders to live their highest quality of life. This research also has the potential to support healthcare providers to deliver effective care to Māori or Pasifika elders.