Reproduction, and the process of replenishing the next generation of whānau and family is a highly regarded, celebrated and culturally significant process for many Māori and Pacific people. However, difficulties conceiving and maintaining a pregnancy can pierce through these sociocultural ideals, shaping discordant realities that render material, social and psychological challenges. While studies of Māori perspectives on assisted reproductive technologies (Glover et al., 2008), Māori fertility and infertility (Reynolds & Smith, 2012), have been undertaken, technological innovation and social change has been rapid, with new logics and metrics to understand and interpret through cultural ways of making meaning. While important insights have been gleaned for Pacific women’s experiences of infertility (Foaese, 2018), and the implications of the Body Mass Index for Māori and Pacific access to fertility care (Parker & Le Grice, 2022; Shaw & Fehoko, 2022) there remains further areas to glean insight into Māori & Pacific experiences with fertility services. Here, I present on a qualitative focus group study supported by Fertility New Zealand & The University of Auckland. Six focus groups were held with 19 Māori & Pacific participants between 2020 and 2021, and accounts from these participants were analysed and made meaning of through thematic analysis. In this talk, I explore some of the interconnected themes that foreground the challenges raised by infertility across participants’ social and whānau lives, intimate relationships, the impacts of grief, loss, and trauma, and struggles with racialised exclusion. There is an urgent need for holistic and integrative pathways to healing from the material, social and psychological challenges of infertility, drawing from the deep puna of mātauranga and Pacific knowledges across Te Moana Nui a Kiwa.