This research is an extension of a grounded theory study that explored incest offender perceptions of treatment in order to generate an explanatory theory of the sexual abuse treatment process. Subjects in the original study were a theoretical sampling of 20 adult male incest offenders currently in, graduates of, and drop-outs from a community sexual abuse treatment program. The men identified a remodeling process that involved their worlds falling apart, their own efforts to remodel themselves, tearing out the damaged parts, rebuilding themselves, their relationships and their environments, doing the upkeep to maintain the remodeling already accomplished, and moving on to new remodeling projects as they progressed through treatment. Treatment implications include the need for flexibility and individualized treatment plans, patience, continual hope of success for offenders, yet healthy skepticism regarding the possibility of recidivism. Figure, table, references, notes