This study explored the experience of first generation monolingual Korean- American breast cancer patients participating in a Korean-language cancer support group. The principal goals were to identify culture-specific themes in participants' cancer narratives and examine the applicability of an existing service model, which was based primarily on studies of white, middle-class, English speaking, unmarried women. The data were generated through narrative accounts of a five-participant case study utilizing semi-structured interviews and two supplemental questionnaires. Findings from the study indicate that older Korean-born immigrant women often have difficulty exercising agency in a medical context, and often did not recognize a need for basic information about their diagnosis and treatment. The language-specific support group served to dispel despair and isolation among the Korean-American women, but failed to address deeper psychological issues including the women's passive behavioral response to the medical setting. Finally, participants of this study had extensively utilized the spiritual resources that are widely available in Korean-American communities for coping with their cancer. These results illustrate the influence of a traditional culture mindset that discourages questioning medical authority, the impact of language barriers in medical settings, and cultural resources of spirituality in coping with cancer diagnosis and treatment.