As a profession, we partner with and privilege the voices of individuals, groups, and communities to address identified occupational issues. This form of partnering ensures a client-centred focus and the achievement of optimal participation in the occupations that the individual, group, or community need, want, and have to do. Equally important for the profession is that we partner with consumers and community at the service level to co-develop our practices and improve the quality and appropriateness of our services. Participatory research approaches that include co-design principles provide occupational therapists, and other disciplines, with methodologies to involve consumers and community members in the development of our services.