This is a chapter from the book Globalization and Culture Change in the Pacific Islands by Victoria S. Lockwood. In this chapter Young Leslie discusses the experience of globalisation and modernity as it relates to health in Tonga. She makes three points: 1. discussion about the interconnection of globalisation, modernity and the Tongan ethnoscape (for the latter, she discusses ‘complex connextivity’, interconnected communities through kinship and residence – the ethnoscape can be anywhere on the globe) 2. the role of biomedicine in the development of a modern Tongan nation and in global participation and 3. globalisation and modernity as experienced by outer island women. The author discusses how acceptable behaviour by women (sitting, weaving) contributes to health problems, especially diabetes. Women spend hours creating fine woven mats for sale to raise funds for school fees.