This article considers ethical questions raised during development of an online art exhibit for and with people with dementia and their care partners. This article also describes a participant engagement process emphasizing patient autonomy as a means of dismantling stigma, promoting personhood, and stimulating community engagement. This cocreative project suggests the potential for patients' art to spark attitude change and promote reciprocal, regenerative care practices.Including People With Dementia By 2030, Alzheimer's Disease International estimates that 74.7 million people will be living with dementia worldwide. 1 The illness is a major and increasing cause of disability associated with impairment and deterioration of memory and other mental abilities, communication and behavior disruptions, and decreased capacity for everyday activities. 1 With no known cure and limited efficacy of pharmacological treatments in ameliorating cognitive decline, 2,3 dementia significantly influences individuals', families', and communities' health and well-being. There is mounting interest in forms of psychosocial care, including arts-based interventions, which aim to facilitate "living well" with the dementia. 4,5 Moreover, there is now recognition that perspectives of people living with dementia should be included in effective care intervention development. 6 Historically, this population has been omitted from conversations about care and from research owing to assumptions that they are unreliable narrators of their own stories. 7 Despite ethical and methodological challenges, the benefits of involving people with dementia in research far outweigh such challenges. 8,9,10,11 Participatory research, particularly qualitative and arts-based approaches, has demonstrated the efficacy of first-person perspectives in promoting agency and autonomy through aligning research methods with persons' capabilities and experiences, 10,11 which can help temper participants' feelings of shame, anxiety, and fear of being open about their condition. For the wider public, hearing the voices of those with lived experience of dementia can call into question false assumptions about what the diagnosis means and diminish stigma related to a fear of the unknown.