Hermeneutic phenomenology (HP) as research method is increasingly used in health and social science studies to collect and analyze lived experiential descriptions (LEDs) of a phenomenon. However, currently there is little guidance in how to apply philosophical notions to interpret LEDs in HP studies and this approach has faced critique in how meaning is attributed. In this paper, we offer clarity about what “we do” in HP studies. It does not present a comparative analysis of qualitative approaches or claim to present an inflexible “how to” menu. The purpose is to provide guidance to those new to this methodology or/and for less experienced supervisors of postgraduate research students using this approach for the first time. The focus is specifically on conducting HP research and how philosophical notions are used to inform methodological decisions. Drawing upon data from our empirical projects we illuminate how meaning is surfaced, demonstrating a key feature of HP studies in the use of philosophical notions to uncover ontological significance. Consideration is also offered on how trustworthiness in HP studies can be achieved. The key contention is how the philosophical underpinnings of HP thinking, and the constant call to be reflexive, draws forth hitherto unspoken meaning that can inform new thinking and practice.