This article aims to reflect upon the changes in the learning disability nursing profession over the last 10 years. It highlights the nurses' role in supporting a change of culture within the field of learning disability from one of oppression and restriction of individual rights to one where the principles characterized in the White Paper--civil rights, independence, choice and inclusion--are being increasingly supported by learning disability nurses. It concludes by examining the key issues that face the learning disability profession over the next 10 years.