Since the early 1990s, when the U.S. Food and Drug Administration approved cochlear implants for deaf and hard of hearing children, the number of children who have cochlear implants has increased in mainstream settings. Recent research suggests that these students, like their deaf and hard of hearing peers without implants who use sign language, may benefit from the use of a sign language interpreter. As of December 2010, approximately 26,000 children in the educational system had received implants (NIDCD, 2011), and today the number continues to increase. This makes it important for parents, teachers, and audiologists to understand that some of these children have more success in understanding their teachers, classmates, and curriculum by combining their auditory and speechreading skills with sign language than in approaching their education through auditory/speechreading skills alone. This article discusses how the use of interpreters could benefit students with cochlear implants.