One of the major challenges of community engagement processes such as the recent consultation undertaken by the Toronto Central LHIN is ensuring that the full diversity of voices and perspectives are heard. Access Alliance, a Toronto Community Health Centre focussing on the health needs of immigrant and refugee communities, was concerned that these communites had not been involved enough in the LHIN consultations. They interviewed 188 people at 8 community consultations using an appreciative enquiry approach. These consultations with Toronto’s diverse communities were designed to supplement and support the LHIN processes.