Purpose: This study surveyed current and projected ethical dilemmas of rehabilitation counselors. Method: As a mixed-methods approach, the study used both quantitative and qualitative analyses. Results: Of the 211 participants who completed the survey, 116 (55.0%) reported an ethical dilemma. Based on the descriptions, common themes involved roles and relationships with clients, professional responsibility and competence, and confidentiality and privacy. In addition, projected dilemmas involved social media, health care legislation, insurance concerns, and professional competence. Conclusions: Implications address areas for ongoing discussion, including considerations for future revisions to the Commission on Rehabilitation Counselor Certification Code of Ethics.