Background: Research shows that spousal involvement in the patient’s pathway improves the effect of the rehabilitation. Spousal involvement seems particularly essential in the planning of an individualized rehabilitation course when the patient is cognitive or communicative challenged. Aim: To explore the experiences of spouses’ involvement in the planning of the rehabilitation efforts made for elderly stroke patients and the circumstances that might influence these experiences. Method and findings: Four qualitative life-world interviews were carried out. A hermeneutically inspired interpretation revealed that spouses mainly associated involvement with their influence on the choice of rehabilitation institution. Lack of time was a barrier for the experienced involvement as well as the fact that only one-way information was offered from the staff. Conclusion: Spouses experienced a limited degree of involvement. Building the intended partnership with the staff never happened due to time constraints. According to this, the rehabilitation programme does not appear to be organized individually for each patient.