Learning practical work through cooperation between school and working life is a part of physiotherapy higher education. Students learn practical work by integration of theoretical, practical, tacit and situational knowledge in a socialization process. Workplace practices and habits direct students' learning. This study answers the question: What kind of conceptions of learning practical work do physiotherapy students have? Longitudinal data written by 21 voluntary students (mean age 25 years) was collected during 3.5 years. Thematic analysis was used in analysing the data. Learning practical work proceeds in 5 phases. 1) The basis of the practical work, human movement and action and therapeutic tools, is learned at school. 2) Meaning of the profession and practical work takes shape in an interaction with clients and observing how professionals work at real workplaces. 3) The wholeness of the practical work takes shape by gradually participating in the work processes. 4) Critical reflection of the work processes-thinking, construction, evaluation and reasoning-develops and 5)The conception of the practical work widens. The study brings new information about learning practical work for developing health care education and its curricula. The role of the workplaces is huge in learning tacit knowledge of the profession.