The spelling of the word "Makaio" is based on the Hawaiian language, with its unique pronunciation and spelling rules. The IPA phonetic transcription for "Makaio" is /məˈkaɪ.oʊ/. The first syllable is pronounced with an unstressed schwa sound, followed by a stressed long "i" sound in the second syllable. The final syllable is pronounced with a diphthong sound, involving a short "a" followed by a long "o". In Hawaiian, the letter "k" is often used where English would use "c", so "Makaio" reflects this spelling convention.