Today, there are an estimated 476 million indigenous peoples worldwide, speaking 4,000 of the world's languages. No two communities are the same, and neither are their eye care needs. In the U.S. and around the world, Seva partners directly with indigenous communities to co-create eye care interventions. Indigenous partners lead conversations, sharing their knowledge, experiences, lived realities, and challenges in accessing eye care. Together, we collaborate on solutions that lead to culturally competent and lasting eye care programs.