Whanganui mayor Annette Main hopes Whanganui District Health Board will consult with the community if it gets to decide on fluoridating the city's water.
The Government announced this week that health boards rather than councils will decide on which water supplies are fluoridated.
"We've made it quite clear in Whanganui, and we've had referendums, that we don't want fluoride in our water and I would hope the DHB would consult with the community," Ms Main said. "Either way it should be a community decision and I'm just not positive that the same consultation would take place."
Ms Main said fluoridating town water only affected those in urban areas and said the Government should have also considered what could be done for rural communities.
And while she said it was a real health issue, she didn't know if water fluoridation was the most cost-effective way to deal with it.