An ability switch, in simple terms, is an alternative to a button that requires fine dexterity to push. Many toys and appliances operate because of fine motor stimulation, prohibiting many people with fine motor challenges from finding independence with daily tasks. Ability switches offer the option to make things work with a simple gesture that an individual with special needs can master, and may not even require the use of hands and fingers. There are many ability switches on the market designed to function for individuals with a wide range of special needs. There are also many adapted toys and appliances, manufactured to work with ability switches. Furthermore, there are adaptive devices that can help standard household appliances and battery-operated toys work with switches. This paper focuses on how to choose the ability switch best-suited to a child's special needs--and the wonderful things he or she can do with it.