Using Photo Voice and journal reflections this study examines the health perceptions of minority women living in the Lower Mississippi Delta (LMD). The main theme emerged in the study was the participant’s optimism about the future of the LMD and they were striving to attain the Ideal Healthy Community, which consisted of five pillars: nutrition education, physical activity, access to healthy food, safety and cleanliness, and positive role models. Participants identified barriers and facilitators to each of these pillars in their communities. The primary facilitator to health was a deep connection to family, church, and community. The primary barrier to health was resistance to change among community members.