Objective To explore women’s experiences with first – and second- degree perineal tears and episiotomy in the post-partum period Design Qualitative interview study Setting An outpatient clinic in a tertiary hospital in Norway Population Women with first or second degree perineal tear, or episiotomy who received follow-up care from an outpatient clinic in 2024 Methods Semi-structured individual interviews, with 18 women. The interviews were analysed using Malteruds systematic text condensation Main Outcome Measures A qualitative analysis of women’s experiences Result Three sub themes and one overarching theme were identified. The overarching theme was that the women experienced a feeling of being left alone with the responsibility of both their physical and psychological needs regarding their perineal tear. The women described (I) a lack of affirmation and emotional support, (II) lack of guidance on normal processes and (III) a lack of systematic follow up of perineal tears. Conclusion The women felt left alone with their perineal tear and did not receive support nor recognition from healthcare professionals regarding the challenges they faced. The physical and psychological consequences experienced by women related to their perineal tear highlight the need for better, more systematically and individually tailored care for women in the post-partum period, from both midwives and doctors.