From the time women suspect that they have breast cancer they may be faced with many decisions about themselves, their treatment, their relationship and their lives. Previous research in this area has focused largely on describing the different ways that patients behave when making decisions about treatment, and women's perspectives of making those decisions after the initial diagnosis of early breast cancer. However, there are no studies that provide an understanding of the range of decisions that women are likely to face and what the experience of making these decisions is like. The aims of this study were to describe the types of decisions women make during early breast cancer and to provide an in-depth understanding of the phenomenon of making decisions during the experience of early breast cancer. Health professionals may be able to use this understanding to improve their relationships with patients and further assist women to make decisions during their experience of early breast cancer.