The recent increased attention on repatriation efforts and compliance with the Native American Graves Protection and Repatriation Act (NAGPRA) has placed many institutions in the same position—needing internal policies concerning research, exhibition, duty of care, and the eventual repatriation and return of cultural items held within their respective institutions. We argue that these policies should be created and carried out in a truly consultative, transparent, and respectful manner that includes Tribal perspectives and knowledge. Repatriation policies are not one size fits all but rather should reflect the holdings of specific institutions, as well as input from Tribal Nations whose Ancestors and cultural heritage they steward. This article brings together repatriation practitioners from five different institutions who share their experiences in creating collaborative repatriation policies and extending them to non-NAGPRA collections. These practitioners highlight some important considerations for those developing policies on exhibition and research, the care of Ancestors, their cultural items, and associated materials, and eventual repatriation. Our goal is to provide useful examples for those who are currently developing policies centered on repatriation, together with care practices, curation, and collections management.