Most research on drag performance has focused on gender and sexuality and/or performing arts. To date, very little has examined drag queens’ experiences of athleticism, injury, and injury care. This research provides insights into the physical experiences of professional drag queens, and the relationship of drag queens to health care, in Aotearoa New Zealand and the United States. Specific areas of inquiry include: how drag queen performers of diverse gender identities, ages, experience levels, and athletic backgrounds experience the use of their bodies in their practice of drag; injury occurrence related to drag queen performance; and how drag queens perceive, access, and experience health care in direct connection to their drag practice. A mixed-methods approach was employed, combining a survey (96 participants) and interviews with six drag queens from Aotearoa New Zealand the U.S. This research draws on Queer and feminist theory, as well as public health models, to inform data collection and analysis techniques. The findings reveal drag to be a physically demanding discipline: the majority of drag queens have experienced drag-related injuries, despite practicing personally developed body maintenance behaviours. Participants also expressed a lack of, and necessity for, widely available, fully accessible, and visible LGBTQ+ and drag culturally safe and resonant healthcare. These insights contribute to a broader understanding of the physical body in drag queen performance, as well as the health care needs of drag queens in Aotearoa New Zealand and the United States. Utilization of research findings, along with cross-sector discussions, could inform community health best practices and policy development, to improve health care for this historically marginalized population.