Transitions are a normal part of life, affecting people's identity and life course. Evidence supports the idea that there is a significant occupational impact on people who experience sudden and unexpected transitions associated with life threatening illness. This interpretive description study explored the occupational impact of transitioning from bowel cancer patient to survivor for individuals living in Aotearoa/New Zealand. Qualitative interviews were conducted with 11 individuals who had completed treatment for bowel cancer. Data were thematically analysed and three key themes identified: I had to heal myself, Life's too short, and The person I've become. Themes are discussed in relation to the occupational concepts of doing, being, becoming, and belonging; with the finding of becoming something not entirely welcome, not previously reported in the occupational science literature. Further research is needed to ascertain whether an unexpected change in identity is a feature of occupational transitions amongst alternative population groups.