Neuromodulation devices are developed with a focus on safety, efficacy, and health economics. It is easy to neglect and often difficult to incorporate the opinions and views of the patient or potential recipient of the device into the design of medical technology. A recently published study in the Journal Spinal Cord reported the findings from a study focusing on the perspectives of people living with neurogenic bladder and/or bowel resulting from spinal cord injury (SCI). What makes this study unusual is the involvement from the very start of people living with the condition.