This study was conducted to investigate the adjustment issues of North Korea women defectors living in South Korea. Eleven North Korean defectors who have been married or was married at the time of study were interviewed on the issues of adjustment difficulties living in South Korea. To analyze the date from interview, the theme analysis method was used. Results indicated that North Korean women defectors had difficulties of educating their children, supporting their parents and infants, receiving vocational training, working, and maintaining health. Also, they often had conflicts stemmed from changes in the gender role and status, bigamy and cohabitation, marriage with South Korean men. Besides, they seemed to suffer from the psychological pain as the results of trauma during the exile from North Korea, South Korea entrance, inability to support their family members being left in North Korea, anxiety with the status revelation, and the sense of withdrawal in South Korea. Suggestions were discussed to support policies and programs for North Korean women defectors