This paper illustrates how participatory action research can yield recommendations for preventing teen pregnancy pertinent to adolescents in a particular cultural and community context. Further research is needed to determine the relevance of these findings to urban Native youth who are not in school and those living in other urban areas. What is most promising about our findings is that these participants were generally informed about standard pregnancy prevention programs for youth as well as a variety of community resources. Although schools and Native-serving organizations were both identified as promising venues for primary pregnancy education and outreach, participants typically recommended involving Native teen parents and community leaders in both types of organizations. Involving Native experts in pregnancy prevention efforts increases the likelihood of delivering information and resources in culturally appropriate ways and increasing awareness of pregnancy prevention programs and resources in the community. The findings affirm the need for multicomponent pregnancy prevention programs [12] and [13] and consistent multimodality messages delivered in a variety ways to reach Native youth.