Gout has a significant impact on Māori in New Zealand. Management can be classified into three areas – treatment of an acute attack, treatment to prevent recurrent attacks and lifestyle advice for people with gout. NSAIDs are first-line treatment for an acute attack of gout. Allopurinol to lower urate levels is required for long-term treatment to prevent recurrent attacks. Aim for a target serum urate level of less than 0.36 mmol/L. Lifestyle modifications to prevent gout include; maintaining a healthy weight, moderate exercise and avoiding high purine foods such as shellfish and offal.