The NOAA Marine Debris Program’s Pacific Islands Region of American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and Hawai‘i spans across 5,239,989 square miles, and is our largest region. Despite their geographic isolation, these island communities are not isolated from the issue of marine debris. Island communities face unique challenges around managing marine debris, including limited land mass, waste infrastructure, and currents that carry debris from afar. Five marine debris prevention and removal projects supported by the NOAA Marine Debris Program are in progress in the Pacific Islands Region. These small communities are leading the way with large efforts.