The purpose of this report is to introduce Rockefeller Foundation involvement in the early histories of the Central Medical School in Fiji. The Central Medical School was established to deal with the dramatic fall in the population of native Fijians. The fear of so-called "race extinction" motivated the British colonial government to pay greater attention to native healthcare by training select Pacific Islanders in basic medicine. The Central Medical School was run by the colonial government of Fiji, staffed by British-educated tutors, attended by students from across Oceania, assisted by the Rockefeller Foundation, and jointly operated by participating colonial administrations: Britain, Australia, New Zealand, France, and the United States. This collaboration between imperial administrations and the Rockefeller Foundation shows the importance of indigenous healthcare in the Pacific islands during the early decades of the 20th century.