Despite the relatively robust legal rights to healthcare for undocumented individuals in the Netherlands, a significant gap remains between these rights and the lived realities of accessing healthcare. This chapter explores the paradox of healthcare access for undocumented migrants centring migrants’ perspectives through a life story approach, highlighting how social, economic, and historical contexts shape healthcare-seeking behaviours. The chapter shows the multifaceted barriers that undocumented migrants face, including fear, financial constraints, and a lack of awareness of legal rights. Despite these challenges, undocumented migrants actively seek various healthcare pathways, relying heavily on informal support networks, particularly within religious communities. To properly understand healthcare exclusion for undocumented Afro-Surinamese and Ghanaian migrants, there is the need to acknowledge the complex relationship between historical injustices, economic pressures, and existing social support systems.