This article is based on a case study that explored one northern First Nation's response to deafness in the community. The study examines deafness from a cultural perspective rather than from a medical or pathological framework. Through the use of interviews and observations, participants critically reflected on their evolving perceptions of deafness and the supports and services necessary to create an accessible community. The study identifies that stronger culturally relevant linkages between northern communities and northern health professionals are needed in order to provide support and services that are responsive to the northern context.