Our research is the first to explore how individuals with gout experience disease management in a Canadian setting. In our interviews, participants living with gout described the process of managing gout, which was presented as three related themes. One of the themes described how individuals ‘process the diagnosis and management of gout’ and included finding ways to adapt to having gout (e.g., dietary changes). The two remaining themes described factors that either support (e.g., being organized) or interfere (e.g., fear of side-effects) with managing their gout. This information can be used to adapt ways of delivering care and thereby improve health outcomes in gout.