d: The prevalence of non-communicable diseases such as hypertension and diabetes including obesity has increased among the black population over the past few years. The increase in these diseases has been associated with increased urbanization and lifestyle changes. No studies have documented the experiences of people who have migrated to urban areas. Aim: To describe the type of lifestyle changes, reasons for the lifestyle changes and the barriers to adopting a healthy lifestyle among people who have migrated from rural areas to urban areas in the past 5 years and reside in Khayelitsha. Objectives: (1) To identify people who have moved from rural to urban areas in the past 2-5 years; (2) To explore reasons for moving to the city; (3) To explore experiences of respondents on moving to the city; (4) To identify the types of lifestyle changes related to chronic diseases among respondents on arrival to the city; (5) To identify reasons for the lifestyle changes among respondents; (6) To identify coping strategies that have been adopted by respondents; (7) To identify barriers to healthy lifestyle among respondents; (8) To make recommendations for development of appropriate interventions that will enable migrating populations to adjust better to city life. Methods: A descriptive qualitative