A qualitative study of women service users’ views of living in Women’s Enhanced Medium Secure Services and comparator medium secure services in the UK. 16 service users participated in semi-structured interviews. Thematic analysis identified four main themes: experiences of current placement versus previous placements, relationships with staff, challenges of living with other women and, having a voice – being involved in care and treatment. The accounts reported suggest that women in WEMSS and standard medium secure services have very similar experiences of their current service, relationships with staff, living with other women and involvement in care. Implications for practice are discussed.