This paper discusses a qualitative, grounded theory study of partners’ perspectives on gynaecological cancer that compared their experience of illness with that of the cancer patient. The study investigated, through unstructured interviews, gender differences in attitude to, and communication about, serious illness, with particular reference to coping and risk management. The results illuminate issues surrounding the sharing of a cancer diagnosis, offering an insight into the care processes that enhance or impede partner involvement. The paper discusses issues beyond immediate treatment, and explores the recovery process as both patient and partner experience it. The implications of the findings and the development of clinical practice are subsequently highlighted.