Migration of health professionals from the Pacific Island countries has been a growing concern for a number of years, and will in the long-term effect the provision of health services in this region. This study examines the consequences of such migration, the factors that stimulate it, and contains studies of key countries in the Pacific, including Fiji, Palau, Samoa, Tonga, Vanuatu, along with a survey of 280 migrant and non-migrant skilled health professionals (SHPs) from these areas.