This article provides an overview of ventricular assist devices, which are mechanical pumps that circulate blood within the body. At the present time, these devices are used to provide a "bridge to transplantation" of the heart or to maintain adequate circulation while the heart recovers from injury. Permanent implantation of these devices may soon become a reality. Use of this technology can tremendously impact the recipient's life and adaptation to their circumstances may be difficult. Topics related to the process of adjustment are presented. These include quality of life issues such as optimization of patient care, dealing with the occurrence of complications, limitations in mobility, and possible termination of support. Facing these issues requires great courage and will likely affect personal growth and deepen relationships. Caregivers can be instrumental in helping to meet the basic physical, emotional and spiritual needs of these patients.