Surrounded by rough seas on three sides and with a difficult to penetrate 1,700 - 2,000 feet high pali cliff immediately behind it, Makanalua Peninsula was selected to be the place of isolation for Hawaii's leprosy victims. Other sections along Molokai's notorious North Shore cliffs tower over 3,000 feet high. The message was clear to all in the islands. Kalaupapa was not a place to leave from.