Most care of older, ailing or disabled people within the home is carried out by a spouse. This paper examines late life marriage and the gendered consequences of caring for older married people in England. Qualitative interview data are analysed to contrast the sense of autonomy of older men and women while caring for a spouse and after widowhood. By encouraging older people to reflect retrospectively on the meaning of their caring roles, we illuminate the process of adjusting to transitions after long-term marriage. The research data indicate that gendered roles and expectations are crucial in understanding the mainly negative experience of older women as carers, in contrast to the more positive experience of older men.