This systematic review aims to address gaps in understanding how concepts of gender, climate change and security are given meaning and linked in empirical scholarship within the Pacific Islands Region. The review assesses the 53 articles returned through Web of Science, SCOPUS and ProQuest databases that are derived from empirical research and refer to gender, climate change and security. The findings indicate that this is an emerging topic in a region that is one of the most vulnerable to climate change across the globe. Most frequently gender analysis is given superficial treatment; there is limited literature that connects gendered vulnerabilities to historical legacies and structural inequalities; and women’s critical roles that create security are often overlooked and devalued. The review indicates that greater work is needed to question perceived threats to security and to reveal how climate change, gendered institutions, systems and spaces, historical legacies and politics interact to construct security in the Pacific Islands Region.