In summary, the positioning and seating requirements for patients with SCI and TBI are a highly specialized and complex process. In order for patients to achieve the goals of maximizing independent function, experiencing the highest quality of life possible, and preventing costly complications, they need customized and durable equipment for their individualized bodies and function, and home and community environments. The process of helping patients procure the equipment they need requires a well-coordinated and experienced team of interdisciplinary staff, a comprehensive evaluation over time with various pieces of trial equipment in community settings, clear accountabilities and systems for obtaining the equipment, and the timely procurement and trialing of equipment prior to inpatient discharge to home.