<p>Australia’s ageing population is increasingly culturally and linguistically diverse, yet the healthcare experiences and ageing preferences of specific subgroups remain underexplored. Older Arab migrants (OAMs) may face challenges related to language, cultural expectations, and transnational ties. To examine healthcare experiences, cultural and religious needs, and ageing preferences among OAMs in Australia, and identify predictors of preference to remain in Australia versus consider returning to the country of origin. A cross-sectional survey of 134 OAMs (aged ≥ 50 years) in New South Wales was conducted using a bilingual (Arabic/English) questionnaire. Descriptive statistics summarised participant characteristics, exploratory factor analysis identified domains, and logistic regression examined demographic and migration-related predictors. Six domains emerged: trust and satisfaction with healthcare, cultural and religious respect, healthcare communication, preferences for ageing in Australia, family involvement, and community connectedness. Participants generally trusted the healthcare system and were more satisfied with aged care in Australia than in their countries of origin. However, they reported limited confidence managing healthcare communication and low perceived provider efforts to address language barriers. Cultural and religious respect was valued and often recognised, yet many felt specific cultural and spiritual needs were insufficiently met. Preferences for ageing in Australia were associated with family involvement, migration pathway, and community ties. OAMs generally trust Australian healthcare but experience persistent communication and cultural barriers. Strengthening interpreter use and bilingual workforce capacity, embedding culturally safe care, and implementing inclusive aged care policies are needed to support equitable and dignified ageing for CALD populations.</p>