Background <p>Despite the rise of co-production of telehealth services, little attention has been given to power imbalances between patients and healthcare professionals. This case study investigated how employing a co-production model with an emphasis on patient perspectives affects power dynamics in the development of a telehealth solution for individuals living with Human Immunodeficiency Virus (HIV) in Southern Norway.</p> Methods <p>This study applied a qualitative, participatory action research design to a co-production workshop with nine participants. To address power imbalance, we tested a workshop methodology guided by a theoretical model that centres on patients’ voices and perspectives. Data from the workshop, including insights of patients, healthcare professionals (nurses and physicians), information and communication technology personnel and administrative officers, were gathered and analysed using a rapid evaluation and assessment method (REAM). Our findings and lessons learned are discussed through the lens of our chosen theoretical model.</p> Results <p>Our study showed that the co-production methodology was useful for supporting the patients in raising their voices and helping healthcare professionals familiarise themselves with patients’ perspectives—and vice versa. More symmetrical and balanced power relations between the workshop participants were achieved. The workshop provided a foundation for further co-production of telehealth solutions between patients and service providers.</p> Conclusions <p>The methodology employed in the workshop underscored the fact that inclusive design of healthcare services that addresses potential power imbalances is critical when working with populations of people living with chronic conditions such as HIV to counteract the risk of exclusion of people.</p>