In the Pacific Island countries, including Fiji, staff attrition in the healthcare sector, particularly at the Ministry of Health & Medical Services (MOHMS), became a pressing issue from 2017 to 2021. This study examines the reasons for staff dissatisfaction and departure from MOHMS during this period. Using a quantitative descriptive cross-sectional approach, data from 249 exit interview survey forms were analysed. The primary causes of staff exit were migration, better job opportunities, pursuing further studies, and family-related factors. Dissatisfaction leading to some of the staff departures was mainly attributed to pay issues, working conditions, and supervisor-related concerns. The findings emphasize the need to address these factors to mitigate the increasing staff attrition trend. Given the recent challenges faced by the healthcare workforce, proactive measures are essential to retain healthcare professionals and prevent a worsening attrition problem.