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Co-creation is an open practice where learners participate in decision-making about aspects of course design, which in our context has included various activities from course design to assessment decisions. After the OTESSA22 conference, this group of conference attendees reflected on co-creation practices and experiences in their respective post-secondary contexts. In this article we share reflections and challenges with co-creation as well as ideas to potentially overcome these challenges. This article, with examples shared from practice, serves as a starting point for ongoing dialogue about inclusive approaches to co-creation.