Following the outbreak of coronavirus disease (COVID-19) and its impact on the aviation industry, the Association of South Pacific Airlines (ASPA) recognized both the need for and the complexity associated with, airline reforms in the Pacific region. Over the past several decades, various attempts have been made to restructure Pacific Airlines, but these yielded limited progress. ASPA sought Pacific Region Infrastructure Facility (PRIF) assistance to explore possible options. At the second Regional Aviation Ministers Meeting (RAMM) held in 2022, the Pacific aviation ministers agreed that affordable and sustainable air services are critical to economic recovery post-COVID-19.