The Participation and Activity Limitation Survey undertaken by Statistics Canada in 2001 identified 635,000 Canadians who have a seeing disability. By 2015 these numbers are expected to double, with the largest group of patients residing in Ontario, the province with the largest population. Ontario has a long-established history of vision rehabilitation, but recent demographic changes and an ever-increasing older population have made the planning of vision rehabilitation services in Ontario (as in the rest of Canada) even more urgent. The intent of this paper is to present the variety of services currently available to the visually impaired in Ontario.