Chinese-Canadian women's participation in the Alberta cancer screening service is low. This is likely because of the pre-assumption of linguistic barriers Chinese-Canadian women anticipate with the Canadian government colorectal cancer prevention screening services. Furthermore, the perceptions toward screening service access affecting the low screening rates are reported differently by Chinese-Canadian women and screening service professionals. Researchers explored the influence of screening service access of Chinese-Canadian women and professionals' perceptions towards the women's colorectal service access using a qualitative, ethnographic study. In addition, the researchers reviewed the literature and government health regulations and their relevance to Chinese-Canadian women's colorectal screenings. Using snowball sampling, 15 Chinese-Canadian women and 15 health service practitioners were interviewed by phone and asked to describe their screening service experiences. The following themes emerged: (1) communication and skill acquisition of Chinese-Canadian women and health care providers; (2) education of health professionals in cultural competency; (3) collaboration between Chinese-Canadian women and health providers (including governmental agencies); and (4) promotion of equality of colorectal health care services. The findings are discussed and recommendations are provided to improve screening service access and screening rates of Chinese-Canadian women.