Participatory ergonomics has been shown to be effective in large organisations. It is unknown whether a participatory ergonomics approach would be accepted in small business, particularly healthcare. 60 Australian optometrists were interviewed by telephone as part of a larger study investigating work-related discomfort. Interviewees were given a participatory ergonomics scenario and asked if it could be implemented in their workplace. Optometrists with and without self-reported physical discomfort participated in the study. 58% of optometrists interviewed were open to a participatory ergonomics approach and could see the value of ownership of problem solving. Barriers to implementing a participatory ergonomics approach include lack of time, financial constraints and difficulty in scheduling staff meetings. Many optometrists preferred a direct solution from an expert, in much the same way that their patients consulted them for direct solutions to their optometric problems. Optometrists appear to be open to a participatory ergonomics approach for solving work-related physical discomfort issues. However, modifications may need to be made to the approach used to ensure acceptance in small business healthcare settings.