The content counseling inherent within hearing aid orientation will benefit from the use of more slowly delivered concrete instructions boiled down to the most salient points when we are working with the elderly. While human learning is largely through audition throughout our lives, visual supplementation is always a strong reinforcement the leaking process. This is even more true when function of the auditory system is compromised. As visual acuity may also be diminished among the elderly, lighting should always be adequate during orientation supplemented wide liberal use of magnification as needed.