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This article reviews our experience and observations from conducting six Community Bioethics Dialogues (CBD) with elderly residents in diverse communities in Galveston, Texas, from 2014 through 2016. CBD is a mixed method that combines focus groups, instruction, ethnography, and community-based research. CBD brings together select community members for 3 hours once a week for 6 weeks to identify values. We employed CBD to investigate how participants think about and react to issues surrounding Patient-Centered Outcomes Research (PCOR), Comparative Effectiveness Research (CER), and mental health. We offer a methodological approach for conducting and optimizing meaningful dialogues with community groups.