Keoki was first exposed to the art of tattooing in 2001 by his best friend, and by 2005 the same friend had encouraged him to start his tattooing career. Without a guide, Keoki was hesitant to make this career change. However, once he gained the knowledge and understanding behind the culture of tattoos, the way he looked at tattooing evolved and his specialty became Polynesian designs. Keoki’s reputation grew quickly, and with this growth came the realization that he was touching people’s lives through his creations.