Participatory visual methodologies open up new possibilities for community collaboration in the research process, appeal to diverse audiences, and produce rich visual and narrative data guided by participant interests and priorities. Presenting a recent research collaboration with a grassroots Romani (Gypsy) community organization in northern Hungary, I discuss ethical and epistemological questions raised in participatory visual research. In this project, our team used the PhotoVoice method to generate knowledge and documentation related to environment, health, and the lived experiences of social exclusion. I explore power relationships in the research process as well as historical and contemporary issues of documentary photography of the Roma in Hungary.