A Masterton man was air lifted from a Black Rock Rd crash scene to Wellington Hospital in a serious condition after two cars collided on the rural road.
Life Flight pilot Julian Burn said the crash happened about 3pm with four people from the two vehicles injured.
Three people with minor injuries were taken to Wairarapa Hospital with minor injuries while the man in his early 40s was air lifted to Wellington Hospital for treatment.
Mr Burn said his injuries were not life threatening but serious.