Mewinzha Ondaadiziike Wiigaming (Long Ago Women Birthing in Lodge, Home or Hospital) is a Native American non-profit organization established in the early 2000s by Millicent Simenson and Roberta Decker to address maternal-infant health disparities among American Indian community members in Northwest Minnesota. Guided by the vision of mino-bimaadiziwin (live well, have good health, and live a good life). Recognizing the impact of the disconnect between mental, emotional, physical and spiritual health in our current healthcare model on rural American Indian families, Mewinzha integrates traditional American Indian medicine protocols with Western practices to provide holistic, culturally appropriate care centered on the physical, emotional, and spiritual needs of individuals and families. In 2024, Mewinzha formally welcomed Two Spirit Advocacy into our bundle of care, recognizing the organization’s long-standing grassroots leadership and alignment with our holistic vision, mission, and values. Two Spirit Advocacy was founded by Arnold Dahl‑Wooley, a member of the Leech Lake Band of Ojibwe and part of the first same-sex marriage formally recognized by the Leech Lake Tribe. Arnold has made a lifelong commitment to using his authentic voice to uplift Two-Spirit and LGBTQ+ relatives and to strengthen understanding, safety, and belonging within Native communities. When Arnold returned to northern Minnesota more than twenty years ago, the landscape for Two-Spirit and LGBTQ+ Native people felt isolating and, at times, unsafe. There were no local, culturally grounded resources for Two-Spirit relatives, and the nearest LGBTQ+ supports were more than two and a half hours away in the Twin Cities. Yet, as Arnold re-entered community life, people began reaching out—sharing stories, seeking connection, and expressing pride in seeing Two-Spirit representation rooted in culture and community. What began as personal conversations grew into educational storytelling, cultural teachings, and gatherings that affirmed identity and history. Over time, family members, Elders, and community members expressed a desire to learn more about the cultural and historical roles of Two-Spirit people, and this curiosity and care became the foundation for organized gatherings. Nearly fifteen years ago, informal groups began meeting to create safe, pro-social spaces for connection, mutual support, and cultural grounding. For more than five years, these gatherings have continued with consistent participation—entirely grassroots and without formal funding—demonstrating both the depth of community need and the strength of community leadership. Mewinzha’s support of Two Spirit Advocacy reflects our shared belief that culture, relationship, and belonging are central to health and wellness. By integrating Two Spirit Advocacy into our organizational structure, Mewinzha helps ensure this essential, community-led work is sustained, resourced, and able to grow—while remaining accountable to the relatives it serves. Together, we are building a future where Two-Spirit and LGBTQ+ relatives in rural northern Minnesota are not only supported, but celebrated as vital contributors to community health, cultural continuity, and collective well-being.