Sensitizing health providers to customers’ needs and women’s health remains a challenge to the Pakistani health system. The Health Workers for Change methodology has been demonstrated to improve provider–client relationships in certain African and Latin American countries. This paper describes the experience of using Health Workers for Change participatory workshops in Pakistan to sensitize male and female health providers to gender issues. Health care providers identified the unmet needs of women clients as a function of individual, household and societal factors, and, unlike the African experience with this tool, not predominantly confined to factors associated with the health facility.