Convened by SPC and hosted by the Government of Cook Islands, the 12th Triennial Conference of Pacific Women was the biggest on record, attracting representatives from 21 SPC member countries and territories. More than 200 women attended, representing a diversity of life stage and background. Representing youth, 26 delegates from the Pacific Young Women’s Leadership Alliance, attended the conference. They had participated in the inaugural Pacific Young Women’s Dialogue held right before the conference. Their dialogue emphasised five areas: eliminating sexual and gender based violence, ensuring sexual and reproductive health rights, eliminating discrimination against persons with disabilities, promoting full and decent employment and economic empowerment for young women, and ensuring the full participation of young women at all levels of decision making. This report presents the proceeding of the 12th Triennial Conference of the Pacific Women. Section 1 presents a summary of The Revised Pacific Platform for Action on Advancement of Women and Gender Equality. Nine regional overviews presented at the conference are included in Section 2, and Section 3 contains the outcomes of the conference.