Fig. 1. Although digital fabrication did not replace traditional techniques for producing accessible tactile media, laser cutting was promptly adopted for creating educational tools and accessories such as [a] this conversion table with braille cubes, replacing some tactile transcription and this accessible square; or [b] representations of concepts with rich textures, here a puzzle circulatory system. 3D printing has a narrower range of applications: while professionals adopt it for some manipulable representations of space, such as [c] a model of a street block, printed complex 3D representations are not often needed, less agreeable to manipulate, and examples such as [d] tactile globes could not be designed or printed internally. Finally, electronic prototyping platforms can augment representations or teaching tools to support students' engagement, like [e] interactive tactile books using a Lilypad controller. However, interactive projects are difficult to maintain, require skilled volunteers and remain at the periphery of practices.Disability professionals could use digital fabrication tools to provide customised assistive technologies or accessible media beneficial to the education of Blind or visually impaired youth. However, there is little documentation of long-term practices with these tools by professionals in this field, limiting our ability to support their work. We report on such practices in a French organisation, providing disability educational services and using digital fabrication since 2013, for six years. We trace how professionals defined how digital fabrication could and should be used through a range of projects, based on pedagogical uses and the constraints in creation, production and maintenance. We outline new research perspectives going beyond 3D printers and its promises of automation to embrace hybrid approaches currently supported by laser cutters, the learning and documentation process, and the production of accessible tactile media at a regional or national scale.CCS Concepts: • Human-centered computing → Empirical studies in accessibility; Accessibility; Empirical studies in collaborative and social computing; Field studies; • Social and professional topics → People with disabilities.