At midlife, women's bodies undergo a journey with its own set of mysteries, discoveries struggles, losses, and freedoms. They seek new paths or direction for the relationships they have with their children, their life partners, their aging parents, and their careers. They learn to understand the experience of hot flashes, mood shifts or swings, and the changing contours of their bodies. The social and biological journeys women undergo at midlife sometime pale when one considers the spiritual journey women undertake. This article explores the literature as it applies to the inner body and outer world transitions at menopause.