Schools throughout America put an emphasis on instruction in mathematics. Students who are visually impaired should not be left out of this national effort (Kapperman & Sticken, 2003). It has been established that children who are visually impaired should learn mathematical skills at the same level as their sighted peers (Tindell, 2006). However, the acquisition of mathematical skills can be more difficult for students with visual impairments due to the abstract nature of many essential concepts and the highly visual presentation of the subject (Kapperman, Heinze, & Sticken, 2000). This discussion highlights the most effective methods for delivering mathematics instruction to students with visual impairments, based on a summary of literature. Implications for teacher implementation in the field are also provided.