This study investigated 52 Navajo family caregiver perceptions about early intervention services. Family-related early intervention practices were rated by caregivers to identify their perception of typical and desired practices. Data also were collected to determine the relationships between caregiver satisfaction and three variables (a) selected family-related program practices, (b) program providers, and (c) family and child characteristics. Supplemental information was gathered from 15 early interventionists identified by the caregivers. Overall, caregivers were satisfied with services, although the perceived level of participation varied. Caregivers' perceptions of program family-centeredness had a strong positive relationship with satisfaction. Neither provider variables nor family variables had strong correlations with satisfaction. Discussion focuses on the importance of using a family-centered approach in this unique cultural context.