The 2000 U.S. Census reported that the state of Washington has the third-largest Pacific Islander population in the United States. Although little is published locally or Nationally about this population, organizations, schools and government departments have identified Pacific Islanders has having some of the greatest health, economic and education disparities in this country. These issues initiated the establishment of the Pacific Island Women’s Association (PIWA). This groundbreaking report contains three important areas of focus: background information on the Pacific Island community in the State of Washington, information gathered at a community forum held by PIWA, and the successes and recommendations for further work in the Pacific Island community.