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Introduction and objectives Positive Airway Pressure (PAP) therapy requires long term commitment from patients. Understanding the lived experience of PAP therapy users is crucial to support successful treatment and identify research priorities. Published data predominantly explores the negative experiences of PAP.This study aims to explore the lived experiences of patients using PAP therapy.Methods This study employed an interpretive phenomenological approach. Heideggerian theory underpins the research, recognising the researcher’s beliefs influence meaning thus allowing for rich analysis.This was a nested study: participants were recruited from within a randomised controlled trial (RCT). Purposive sampling was used for maximal diversity.Data were collected through 1-to-1 semi-structured interviews and analysed using Braun and Clarke’s six-phase Reflexive Thematic Analysis. Analysis was conducted inductively through an interpretivist lens and managed using qualitative data analysis software (NVivo 14).Results Twenty-nine participants were recruited, of which 45% (13) were women and 48% (14) were concordant with PAP therapy. Further, 62% (18) were Caucasian, 17% (5) Asian, and 21% (6) Black. Age groupings: 24% (7) were over 65 years, 52% (15) were 40–64 yrs and 21% (6) were 18–34 yrs.The findings are presented as four overarching themes which capture and present the journey of people’s lived experience with OSA and PAP therapy: 1) Life before a diagnosis, 2) Making sense of diagnosis, 3) Negotiating life with CPAP and 4) CPAP and me: Life with CPAP. Seven themes and two sub-themes are presented and displayed in the concept map (figure 1). This phenomenology provides insights into the lived experience that could inform individual clinical encounters and service design. Clinical practice often frames success purely in terms of CPAP concordance. This research shows that meaningful use in the context of people’s lives and relationships is equally important.Abstract S94 Figure 1Conclusions This phenomenology has brought together the existential and practical aspects of living with CPAP. It highlights the complex ways in which OSA and CPAP influence the individual’s lived experience and the effect on society. The value of phenomenological research in applied clinical contexts is highlighted and its potential to inform more compassionate, person-centred care.