Person-centred planning (PCP) is both a philosophy and method of service delivery across varied contexts. It is used in pathway planning for young people with special educational needs and disabilities (SEND) to promote positive transition outcomes. Due to idiosyncratic use, it is unclear how PCP meetings are organised and structured and to what extent this reflects fidelity to PCP as a philosophy. It is also unclear how young people experience PCP meetings and how this impacts transition. To explore this further, a systematic literature review was undertaken from which six studies were included and their data reported using PRISMA guidelines. Drawing upon Gestalt theory as an interpretive lens, findings from these studies suggest that PCP meetings comprise intersecting ‘foreground’ and ‘background’ elements, making PCP meetings a complex space requiring skilled facilitation. Limitations and recommendations for further research and practice are included.