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This article examines New Zealand speech–language therapists' (SLTs') perspectives on service provision for Māori with aphasia. The New Zealand Disability Strategy states that disability services should be ‘accessible to and culturally appropriate for disabled Māori and their whānau (extended family)’ . However, until recently, SLTs have had little guidance as to what makes a service ‘accessible’ and ‘culturally appropriate’. In light of this, the current study sought to describe and analyze service provision for Māori with aphasia and SLTs' perceptions of an accessible and culturally appropriate service. Using the qualitative methodology of interpretive description (ID), interviews were conducted with 10 SLTs (5 managers and 5 clinicians) working with Māori with aphasia across New Zealand. Inductive analysis revealed three factors that together determine the service provided for Māori with aphasia. These are …