 Nailatikau had wide experience locally and internationally as a medical doctor.Once the chief medical officer to the United Nations Interim Force in Lebanon, he later played an important role after the Fiji coup of 2000, as head of the trauma team providing counselling for the parliamentarians (and their families) who had been kidnapped and held hostage in the insurrection.He established his own medical clinic, the Siloah People's Clinic, in Tavua.