This study explores how older women have their transportation needs met following driving cessation and the factors influencing the transition to driving cessation. Eleven women age 70 and older who ceased driving participated in face-to-face interviews. They often used different mobility options to continue their participation in different types of activities, and they experienced reductions in social activity participation. Location and access to public transportation, access to stable mobility options, control over mobility options, and planning for driving cessation influenced adaptation to driving cessation. The results provide direction for the development of appropriate mobility options and the development of effective programs to reduce the negative impact of driving cessation.