This article focuses on the current state of the science related to audiologic rehabilitation of individuals with dual sensory impairment, with an emphasis on considerations for provision of appropriate hearing assistive technology for this population. A substantial increase in the number of older adults is predicted in the coming years, many of whom will have significant age-related impairments in hearing and vision. Thus, hearing care professionals will be called on increasingly to attend to the special needs of people with dual sensory impairments to ensure maximal quality of life and independence for these individuals. Access to sound is critical for individuals who live with compromises in both vision and hearing. Hearing assistive technology may improve not only their speech perception but also their connection and orientation to the environment, as well as enable greater mobility. Thus, the audiologist's provision of appropriate and carefully selected hearing assistive technology may contribute dramatically to the quality of life of the individual with dual sensory loss. Prefitting, fitting, and postfitting considerations in providing hearing aids and other assistive technology to individuals with dual sensory impairment are reviewed.