. This study investigated whether women experience self-presentational concerns related to rehabilitation settings and explored preferences for characteristics of the social and physical treatment environment in relation to women's Social Physique Anxiety (SPA). . Two cross-sectional studies were conducted. In Study 1, female undergraduate students ( = 134) completed four questionnaires (Social Physique Anxiety Scale; three bespoke questionnaires assessing self-presentation in rehabilitation and social and physical environment preferences) with respect to hypothetical rehabilitation scenarios. Study 2 recruited injured women who were referred for physiotherapy ( = 62) to complete the same questionnaires regarding genuine rehabilitation scenarios. . Women with high SPA showed less preference for physique salient clothing than women with low SPA in both hypothetical ( = 0.001) and genuine settings ( = 0.01). In Study 2, women with high SPA also preferred that others in the clinic were female ( = 0.01) and reported significantly greater preference for private treatment spaces ( = 0.05). . Self-presentational concerns exist in rehabilitation as in exercise settings. Results indicated inverse relationships between women's SPA and preference for the presence of men, physique-enhancing clothing, and open-concept treatment settings. Future studies to determine the effect of self-presentational concerns on treatment adherence are needed.