The Pikialasorsuaq Commission has undertaken consultations with Inuit communities on both sides of Pikialasorsuaq in Nunavut and Northern Greenland to facilitate local and regional input; to incorporate indigenous knowledge; and to recommend an Inuit strategy for safeguarding, monitoring and management of the health of Pikialasorsuaq for future generations.

The Pikialasorsuaq Commission is led by three Commissioners: Okalik Eegeesiak, the international Commissioner; Kuupik Kleist, the Greenlandic Commissioner; and Eva Aariak, the Canadian Commissioner. The work of the Commission is planned as a 3-year project.