Hawaiʻi creeper is able to climb up and down trees. It uses its short, sharp beak to probe bark for insects residing underneath. If available, it will sip nectar from koa ("Acacia koa") or ōhia lehua ("Metrosideros polymorpha"). The breeding season of the Hawaii creeper lasts from April to July, during which female birds lay one to three eggs. Nests are hidden in a tree cavity or built on a high branch in either a koa ("Acacia koa") or a ōhia lehua ("Metrosideros polymorpha"). Eggs hatch after around thirteen days. The Hawaii creeper was put on the endangered species list in 1975;
Acacia koa there are few koa remaining which are both large and straight enough to do so today. In areas where cattle are present, koa regeneration is almost completely suppressed. However, if the cattle are removed, koa are among the few native Hawaiian plants able to germinate in grassland, and can be instrumental in restoring native forest. It is often possible to begin reforestation in a pasture by disk harrowing the soil, as this scarifies seeds in the soil and encourages large numbers of koa to germinate. Experiments at the Hakalau Forest National Wildlife Refuge have shown that ōhia lehua ("Metrosideros polymorpha")