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1. In June 2019, the Ministry of Health instigated a restorative justice approach to exploring the harm caused by surgical mesh use in Aotearoa New Zealand. The project aimed to listen to the stories of patients adversely affected by surgical mesh as a way of helping to clarify the Ministry’s responsibilities, and those of the wider healthcare sector, to address the problem and inform subsequent action.

2. The approach employed is consistent with the principles of resilient healthcare and was continuously refined to adapt to emerging needs. 2 It was codesigned by the Chief Medical Officer, Chief Nursing Officer and their Principal Advisor, the consumer advocacy group, Mesh Down Under, and the Diana Unwin Chair of Restorative Justice at Victoria University of Wellington. It was comprised of three phases: listening and understanding, planning and acting, and reporting and evaluating.