Assessing an end user for power mobility can be an intimidating task. Decisions that are made will have an impact on the individual’s quality of life, functional mobility, physical well-being, and social interactions. When the end user is not able to utilize a standard joystick, then the task can become even more intimidating. There are many considerations and factors including driving/input method, mounting of driver controls, postural control, power positioning, programming, and environmental access/control. This workshop will review many of the considerations that must be examined when recommending alternative controls. Case specific examples will be utilized to elucidate the often-delicate interplay between alternative control access and complex seating system needs.