INTRODUCTION ; Cognitive impairment is a major issue in old age characterized by a progressive and devastating reduction in cognitive abilities, functional independence and social relationships. OBJECTIVE ; This qualitative study explored the lived experience of primary caregivers of elderly with cognitive impairment METHODS ; Elderly people with cognitive impairment were purposively recruited and their primary caregivers were included in the study. Participants were asked open ended questions about their caregiving experience. Interviews were audio recorded and transcribed to major and minor themes. RESULTS : Major themes identified firstly relationship changes with minor themes were role reversal and support and secondly life changes with minor themes behavior changes, time management and changes in freedom. The findings revealed the need of support and counseling for caregivers focused on themes identified.