This study explored the ways in which osteoporosis affected the lives of 115 community-dwelling older women. Stress and adjustment patterns were the main variables examined. The women perceived more stress in their lives since being diagnosed with osteoporosis than before the diagnosis. Pain, loss of roles, and other limitations placed on the women due to their condition contributed to their feelings of stress. Both short and long term coping strategies were developed by the women to help them adapt to their illness.