Title: A study of some of the psychological issues affecting women undergoing treatment for urinary incontinence. Background: There is evidence suggesting that effective clinical treatment of urinary incontinence (UI) is not reflected in patients’ quality of life reports or in psychological well-being. There may be other psychological issues that are not routinely captured but may be influential in recovery. Aims and objectives: To explore women’s experiences of UI and identify what aspects are not altered by stress incontinence (SUI) surgery, to identify themes with which to develop a treatment-planning tool and to identify measures to improve patient satisfaction. Methods: Qualitative interviews and repertory grids were performed on women with UI. Themes generated from these women, together with themes from a literature review and a focus group, form the basis for future questionnaire development. Data were scrutinised for additional potential to improve satisfaction. Results: Wide-ranging themes were identified. Psychosocial aspects are not fully addressed by traditional UI treatment. Many suggestions for improvements in management were identified. Conclusions: There is much that can be done to try to improve satisfaction for women with UI. Many themes have been identified as a basis for the further development of a treatment-planning tool.