Home tube feeding (HTF) provides food and water through a tube when people cannot meet their nutrition needs by mouth. Despite its importance, there is very little research about the lived experiences of HTF users and their caregivers in Canada. Recent data suggests that adult HTF users in BC frequently visit hospitals for HTF-related problems. However, few adult HTF users (25%) accessed community dietitian services. This research is the first BC and Canadian study to explore the experiences and challenges of adult HTF users and their caregivers. It also is the first to bring users, caregivers, healthcare professionals and decision-makers together to create “best practice” recommendations.