Photovoice is a participatory methodology that enables community members to identify, represent, and enhance their community through photography. The process has three main goals: (1) recording and reflecting community strengths and concerns, (2) promoting critical dialogue and knowledge about important issues through group discussions of photographs, and (3) reaching policymakers. The authors describe the development, advantages, disadvantages, key elements, and implications of photovoice for public health promotion and participatory needs assessment. Photovoice is flexible and can be adapted to specific goals, groups, and public health issues. It links needs assessment with community participation, addresses descriptive mandates, affirms the perspectives of vulnerable populations, facilitates sampling of different settings, sustains community participation, and provides tangible benefits. However, it also has limitations, including potential risks to participants, personal judgment, class stratification, and the complexity of analyzing and summarizing data. The article discusses the role of facilitators, participants, and materials, emphasizing the importance of community involvement and the use of cameras as a tool for empowerment. Photovoice is particularly effective in rural areas and can complement other needs assessment strategies.Photovoice is a participatory methodology that enables community members to identify, represent, and enhance their community through photography. The process has three main goals: (1) recording and reflecting community strengths and concerns, (2) promoting critical dialogue and knowledge about important issues through group discussions of photographs, and (3) reaching policymakers. The authors describe the development, advantages, disadvantages, key elements, and implications of photovoice for public health promotion and participatory needs assessment. Photovoice is flexible and can be adapted to specific goals, groups, and public health issues. It links needs assessment with community participation, addresses descriptive mandates, affirms the perspectives of vulnerable populations, facilitates sampling of different settings, sustains community participation, and provides tangible benefits. However, it also has limitations, including potential risks to participants, personal judgment, class stratification, and the complexity of analyzing and summarizing data. The article discusses the role of facilitators, participants, and materials, emphasizing the importance of community involvement and the use of cameras as a tool for empowerment. Photovoice is particularly effective in rural areas and can complement other needs assessment strategies.