Aotearoa/NZ is home to the largest Tokelau population in the world. In the five generations of Tokelauans, the prospect of ever living in Tokelau is very small. They will grow up, be educated, learn their culture and receive their healthcare all in Aotearoa. This research will focus on some challenges raised in my PhD. First, there are significant gaps in services for young people. Second, young people wish to be involved in the development of such services as central players and key informers. Third, while cultural competence can provide the framework for developing responsive health services, much of the content for Tokelau (youth) is absent from current approaches. Using the Māopoopo method and my unique lived experience as Southern-born Tokelauan, a Registered Nurse/developing researcher. This research will work responsively with both Tokelau youth and clinicians to identify what cultural quality of services should look like and how development should proceed.