The Rural Health and Wellbeing Team at the University of the Highlands and Islands have been conducting research with communities in Highland who are, or have potential to be, exposed to ticks, and therefore Lyme disease. The estimated incidence rate of Lyme disease in Highland is the highest in Scotland (44.1 per 100,000 of the population) and since a complete understanding of the extent of the issue is in the emergent phases, we designed and implemented a community engagement approach to allow us to gain a better understanding of the extent of the issue. We also wanted the opportunity to tap into the expertise of those who are exposed through recreational and occupational activities. By doing this we believed we could understand current measures that are implemented in order to mitigate the risk and reduce the chances of getting bitten by a tick, as well as identify what is missing from existing provision and think about what could be done/provided to begin addressing these gaps.