Receiving orthodontic care can be challenging for our patients with autism and/or learning disabilities; being in new places, meeting new people and having treatment can be overwhelming. In this article the authors have worked with carers to understand better the challenges patients with autism and/or learning disabilities face and identify reasonable adjustments which can be made to improve their experience. It is hoped that other orthodontists may adopt these changes in their own services or find similar ways to improve the care of this patient group. Clinical Relevance: Orthodontists encounter patients with autism and/or learning disabilities in their day-to-day practice. This paper outlines reasonable adjustments they can make to improve the experience of these patients.