Aim and Problem statement The study aimed to investigate views on physical health amongst patients in methadone maintenance program, which is a subject little explored. Previous studies suggest that methadone patients are at risk developing illnesses related to the metabolic syndrome and an unhealthy lifestyle. Methadone also has side effects such as weight gain and irregular levels of glucose. Method This qualitive study included seven interviews with patients in the methadone maintenance program in Uppsala. Qualitive content analyses were performed Findings Content anlyses gave the theme: The view on physical health is a stuggle after normality were ambivalence of lifestyle changes and alienation causes instability in helath. Five categories were found: Health, to be normal struggle after normality, the importance of methadone, views on physical, mental and socioeconomic health. Lack of control causes deteriorating health about consequences from drug abuse and ambivalence to lifestyle changes. Motivation to live contains factors for increased/decreased motivation. Daily life habits and routines investigate attitudes and knowledge. Support and help from the healthcare more individually adjusted care and expanded support was desired. Conclusions Greater emphasis on physical health may provide patients receiving methadone treatment with increased well-being. Methods focusing on patients own resources to reach their goals should be used.