Objective: Cardiac implantable electrical devices are the most effective modality of treatment for different life-threatening dysrhythmias. However, living with these devices is associated with many multidimensional challenges. Aim: the aim of this study was to explore the lived experience as perceived by patients with implanted cardiac devices at Cairo University hospitals. Method: A descriptive phenomenological approach was utilized; 30 participants were interviewed; the interviews were audiotaped and transcribed verbatim, then analyzed using a phenomenological content analysis. Results: Four main themes were emerged: feeling near to death; facing ongoing challenges; adopting coping behaviors; and Reaching adaptation. Conclusion: Cardiac devices recipients are facing many biopsychosocial challenges that need to be addressed before and after device implantation. Therefore, provision of ongoing counseling and support are essential to help cardiac devices’ recipients achieve adaptation and continue their roles after device implantation.