Middle-aged women's definition of health was explored using grounded theory methodology. Seven middle-aged women were interviewed regarding their definition of health and what they did to achieve health. Interviews were analyzed using the constant comparison method. The core variable of “orchestrating health” became evident as women's process of living health. These middle-aged women orchestrated the physical, emotional, and spiritual aspects of their lives in the environment (orchestral pit) and in relationship with others (audience, patrons). Nurses need to become aware of the process of living health undertaken by middle-aged women and to include spiritual, physical, emotional, environmental, and relational components in their assessment and understanding of women's health.