Despite tension between stated high-level commitments to gender equality and the actual appetite to drive change at the most senior levels in the Pacific, progress has been made. This chapter presents Pacific approaches to gender mainstreaming, including examples of changes that have resulted from regional policy shifts, harnessing existing policies in new ways and building gender components into new regional initiatives. The Pacific Community and the Pacific Islands Forum Secretariat have been instrumental regional bodies in the drive towards gender equality, with dedicated expertise and mechanisms, operating through transnational alliances around the region. Success has relied on strong relationships across and between Pacific Island states, and their regional and national institutions, and relationships between networks of committed Pacific gender equality advocates from all corners of the region.