The addition of four lines to the OPDG to include questions identifying implementation needs (Section 2) was affirmed by participants who talked about resource and personal barriers to carrying out decisions, (the extra four lines included the following: ‘How motivated are you to take action’; ‘how confident are you that you can take action’; ‘list things that may get in the way of doing this’; list things that may help you to do this’).Maeve stated, “making the decision is one thing; doing it is another” when talking about how health care providers rarely seemed to want to talk about or understand the situational barriers experienced by Aboriginal women making care decisions (e.g., lack of childcare, funding,transportation). Participants viewed the ‘doing’ of the decision as an integral part of the ‘making’ of the decision and described the process of decision making as situated within social, historical, political systems which often acted as barriers to implementation of their decisions.