Purpose: The Pacific Peoples of Aotearoa are 7% of the population and overrepresented in poor health determinants and outcomes. Only 2% of NZ doctors are Pacific and little is known about their career patterns and influencing factors. This study is the first to identify factors influencing career choices for Pacific. Methodology: This study is part of the Medical Schools Outcomes Database and Longitudinal Tracking Project (MSOD) for cohorts graduating between 2011-2020. IBM SPSS Statistics was used for descriptive and statistical analysis. Differences were examined using Pearson Chi-square and Mann-Whitney U tests with significance set at 0.05. Results: A total of 254 Pacific students were included, 142 (56%) were female and 25% had decided on a specialty by graduation: 34% Surgery, 20% GP and 13% Paediatrics. Thirty-five percent of Pacific vs 24% of non-Pacific preferred to practice in Auckland (p<0.001). More Pacific students rated financial prospects (p=0.019), prestige (p=0.013), cost of training/debt (p=0.023), cost of vocational training (p<0.001), influence of parents/relatives (p<0.001) and helping people (p=0.005) as important factors. Within Pacific, males rated the following higher vs females: research/teaching opportunities (p<0.001), prestige (p= 0.007), training positions (p=0.042), career advancement (p=0.001) and job security (p= 0.007). Conclusion: Pacific medical students at graduation wished to practice in Auckland and preferred surgery as a career. There are significant differences in factors between Pacific and non-Pacific, including costs of training, and within Pacific. Qualitative analysis of factors important to Pacific graduates in their career choices is planned.