SCI is one of the most challenging injuries a person can experience. Adapting to life with a disability can be a long-term process, but one that can also be extremely rewarding. Peer Mentoring provides the tools to cope with the medical, psycho-social, and physical changes often associated with SCI. Current research suggests that peer-mentoring is an effective intervention for improving functional outcomes, health, and well-being in persons with SCI. People participating in Peer Mentoring Programs may have a lower incidence of secondary complications (e.g., pressure sores, depression, pain) associated with SCI. Mentors can help Peers re-evaluate their life/career goals. They are able to assist with the day-to-day challenges of living with SCI, particularly those related to self-management of health care and social interactions. SCI may prevent a person from doing things the “old way,” but it doesn’t prevent them from learning new ways to live. Learning new paths to independence, finding new sources of self-esteem, and becoming part of new social systems are all part of successful adaptation to spinal cord injury.