Sociological approaches to understanding narratives of illness usually begin with oral or textual discourse. This article extends the study of illness narratives beyond oral and textual accounts to photographs. It takes the position that attempts to distinguish clearly images and words, or verbal and visual narratives, are utopian projects. It examines three photographs taken by British feminist Jo Spence (1934–92) to document her experiences of breast cancer from the time of her diagnosis in 1982 until the time of her death in 1992. After defining ‘narrative’ and ‘photography’ and explaining how some photographs are narratives, the article considers how Spence’s photographs are narratives of living with cancer that incorporate visual and textual elements. It concludes by suggesting how and why extending the study of illness narratives beyond oral and textual accounts can enlarge and enrich social science understandings of people’s experiences of illness.