Health leaders from 18 Pacific island countries and areas (PICs) convened in the Tongan capital of Nuku’alofa for the Fifteenth Pacific Health Ministers Meeting (15th PHMM). During the meeting, held from 20 to 22 September, health leaders committed to 26 coordinated actions to tackle priority health issues: human resources for health, health information systems and digital health, health system resilience, and obesity among children and young people.