Over the past few decades nutrition transition has occurred in Pacific Islands Countries (PICS), influencing the health profile of Pacific Islands populations and resulting in significant rates of diet related noncommunicable diseases (DR-NCD). In most PICS, including Fiji, imported processed foods, in particular refined rice, flour products, sugar, fatty meats, vegetable oils, and other processed foods have become predominant in most people’s diet (FAO, 2011b; WHO Regional Office for the Western Pacific, 2003). These foods are usually higher in fat, salt and sugar compared to minimally processed foods and there is an increased availability of highly processed foods (Snowdon et al., 2013; Sievert et al., 2019). While nutritious traditional foods, such as taro, breadfruit, banana, coconut, fish and seafood, are still consumed, they are done so less frequently. There is an assumption that food systems have changed, particularly in urban areas, but more work is needed to assess this and to identify mechanisms of policy impact. The aim of this report is to provide evidence and information to facilitate and enhance policy dialogue in various forums, to produce recommendations and a roadmap for policy change to prevent overweight, obesity and NCDs in Fiji. The information contained in this report will be synthesised for use at a UN Food Systems Summit Event in Fiji in 2021.