First Nations, Inuit, and Métis (FNIM) patients in Canada experience significantly poorer surgical outcomes compared to non-Indigenous patients, including higher rates of complications, hospital readmissions, and mortality (McVicar et al., 2021). This qualitative study explores the perioperative journeys and clinical care experiences of FNIM community members receiving surgical care in Ontario through interviews with community members and healthcare providers, identifying barriers and opportunities for improving culturally safe care. A key outcome of this study is the development of a cultural safety toolkit to support patients and help healthcare professionals deliver culturally safe, high-quality care free from anti-Indigenous racism and discrimination. Guided by an Indigenous Circle of Experts (ICE)—comprising Indigenous healthcare practitioners, Elders, community leaders, and program partners—the project grounds all resources in lived experience, clinical expertise, and culturally informed approaches, promoting equitable and respectful surgical care across Ontario.