The conflict is the struggle between the narrator and her husband, over the nature and treatment of her illness leads to a conflict within the narrator's mind between her growing understanding of her own desire to repress this awareness.
"If a physician of high standing, and one’s own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression—a slight hysterical tendency—what is one to do?"
The wallpaper represents the structure of family, medicine, and tradition in which the narrator finds herself trapped.
“There are things in that paper that nobody knows but me, or ever will.”
The theme oppressive nature of gender roles, appearance versus reality, and the need for self-expression.
"My brother is also a physician, and also of high standing, and he says the same thing."