The transition to adulthood can be difficult for anyone, but doubly or triply so for an individual with special needs. In addition to the emotional and developmental challenges it brings, it means huge transitions in terms of benefits programs, education, day-to-day structure, medical coverage and residential choices. In this article, the authors discuss these transitions and provide suggestions a family can take when a child with special needs reaches adulthood. With proper planning and assistance from non-profit organizations that work with individuals with special needs and from professionals in the field, these transitions can be smooth and open up new opportunities to individuals with special needs and their families.