Hearing aids and / or cochlear implants (CIs) are not the only ways that severe profound (SP) hearing impaired patients can improve their listening skills. For this population, personal amplification devices certainly enhance their residual hearing to some degree but there are still many challenging listening situations for which they require additional support. Audiologists are very proficient in informing patients of day-to-day hearing tactics and strategies such as lip-reading skills and environmental modifications that can be used to supplement the information they gain from their hearing device. However as hearing professionals, we need to consider more routinely the use of other hearing products that are available, collectively known as assistive listening devices (ALDs), aimed at offering additional improvement in speech intelligibility (SI) and in detecting environmental sounds (ES). These products are particularly vital for patients presenting with SP hearing losses due to the extra problems they face with inner hair cell damage (for example, the presence of dead regions, poor speech discrimination, and reduced dynamic range).