Palliative care is an important medical specialty that is often ignored in LMIC like those in the Pacific region. However, despite this, the need for palliative care services remain present and pressing as burdening health issues overwhelm health systems in the Pacific. As Pacific Island nations try to meet the need of ageing populations, chronic conditions and the complications of rising non-communicable diseases within limited health resources opportunities, to ensure health workers are trained to navigate and address these needs are being sought. However, current specialty training programmes, including those for palliative care, require health workers from LMIC in the Pacific to travel to the developed countries that offer them for lengthy periods that put huge pressures on the health systems in the LMIC. From the perspective of Samoa, a Pacific Island nation that has unmet needs in the space of palliative and end of life care, I would like to open a discussion in how this model could be changed to support LMIC Pacific Island nations like Samoa obtain palliative care training for health workers in country in a way that is supported for success and sustainability with the help and support of our bigger brother nations in the Pacific.