Lay summary
Using Pacific methodology, the proposed qualitative study will explore Pacific clients’ experiences and decision-making processes through each of the stages of care leading up to, as well as beyond, the bariatric surgery care process within NZ. The Ministry of Health Weight Management adults’ guidelines (2009) indicate that bariatric surgery is the most effective treatment for obesity with type 2 diabetes, indicating a remission of type 2 diabetes in 80% of cases after surgery and long term weight loss. However, Pacific clients are less likely to follow through with the surgery stage, despite having disproportionately high population levels of obesity. Using Talanoa, the present study will elucidate valuable insights from Pacific bariatric service clients, using a transformative framework to advocate for Pacific empowerment for more culturally relevant and effective health care delivery.