Fish is a mainstay of food security for Pacific island countries and territories (PICTs). Recent household income and expenditure surveys, and socio-economic surveys, demonstrate that subsistence fishing still provides the great majority of dietary animal protein in the region. Forecasts of the fish required in 2030 to meet recommended per capita fish consumption, or to maintain current consumption, indicate that even wellmanaged coastal fisheries will only be able to meet the demand in 6 of 22 PICTs. Governments of many PICTs will need to increase local access to tuna, and develop small-pond aquaculture, to provide food security. Diversifying the supply of fish will make rural households in the Pacific more resilient to natural disasters, social and political instability, and the uncertainty of climate change.