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Technology is always changing and that is a certainty. Integrating it into a population in a cost effective manner is always a challenge. One of the benefits of technology is the power to improve quality of life for those who are spinal cord injured. Five years ago in 2009, our rehabilitation team had the opportunity to partner with a young spinal cord injured patient with a newly implanted diaphragmatic pacer device (DPS). Since then we have had several patients with chronic spinal cord injury with this technology. The following poster will review the literature related to this device in spinal cord injured patients, explain our experience utilizing this device, and demonstrate how we evolved to make the process incorporate an effective discharge plan. As our experiences have resulted in a discharge destination of return home with family caregivers, it has been paramount that our staff has a breadth of knowledge regarding this device in order to provide comprehensive caregiver training and discharge planning.