Farm to school programs are becoming a popular intervention to address childhood obesity. The hope is to prevent later chronic illnesses such as diabetes and cardiovascular disease that can result from eating high-fat/high-calorie diets that are low in consumption of fresh fruits and vegetables. This study explores the impacts of one such program, Farm to Keiki, on students, their families, and teachers at two Native Hawaiian preschools on the island of Kauaʽi, Hawaiʽi. This program combined lessons about plants and nutrition with gardening at school and tastetesting in the classroom. Rooted in critical medical anthropology, this study utilized a combination of quantitative and qualitative methods to understand these impacts, as well as the historical and cultural contexts that have contributed to dietary changes among Native Hawaiians. Through in-depth interviews and focus groups, families and teachers described how the program encouraged the children to try new foods and eat more produce, and how the children demonstrated new knowledge about plants and healthy eating. Participants also spoke of ways in which their own knowledge and eating habits changed, and families reported carrying over many of the program's activities at home by gardening and preparing meals together. Additionally, participants offered valuable feedback on ways the program could be improved. This study, which appears to be the first of its kind to involve a Native Hawaiian farm-toschool program, demonstrates that an anthropological approach can provide critical depth and understanding of how programs like Farm to Keiki affect students and the people close to them.