Senilagakali was educated at Lau Provincial School and subsequently at
Queen Victoria School on the main island of
Viti Levu, where he studied from 1945 to 1950, when he enrolled in the
Fiji School of Medicine. After graduating in 1954, he was employed in the health service from 1954 to 1963, serving such diverse locations as
Lautoka and
Levuka. In 1964, he took time out to study orthopedic surgery in
Melbourne,
Australia, and at the
Vellore Christian Medical College Hospital in
India. On his return to Fiji in 1968, he was employed as a consultant surgeon at
Labasa hospital, before becoming a lecturer at his
alma mater in 1970, a position he held for three years. From 1974 to 1978 he served as Director of Medical Services, and from 1978 to 1981 as Permanent Secretary for Health. He was President of the
Fiji Medical Association from 1970 to 1974 and again beginning in 2005. He was also the "public member" of the disciplinary committee of the
Fiji Law Society from 1998 to 2006. He was the president of the Fiji Medical Association, before becoming the medical doctor to the
Republic of Fiji Military Forces. == Diplomatic career and public service ==