This article reports the results from a national survey of experiences in postsecondary education of students with visual impairments in gaining access to textbooks. Participants were members of listserves sponsored by the student affiliates of the American Council of the Blind and the National Federation of the Blind. While the majority of students were successful in gaining access to their textbooks in formats they could use, a greater number reported delays in procuring textbooks. National accessible textbook providers such as Recording for the Blind & Dyslexic, http://www.bookshare.org, and the National Library Service for the Blind and Physically Handicapped influenced the ways in which respondents gained access to textbooks. Respondents called for quicker access to textbooks, differing formats for electronic versions, changes in how electronic texts are structured, and improvements in service delivery related to textbook conversion for offices serving students with disabilities and publishers. (Contains 1 table.)