Despite having reported influenza vaccination rates similar to New Zealand Europeans, Pacific peoples have significantly higher rates of infection, hospitalisation and intensive care unit admission than any other group in New Zealand. Much of this may be due to the presence of comorbidities. However, it is in the interest of Pacific health to promote vaccination widely within this group. Little has been written about what prevents and encourages positive vaccination amongst Pacific peoples. This article reviews current themes about vaccination practices amongst ethnic minorities with a view to identifying positive vaccination strategies for Pacific peoples living in New Zealand.