This article explores the nature of instruction provided to Latino English language learners (ELLs) with disabilities. The case of a bilingual teacher who worked with an ELL with disabilities is presented. This teacher's voice describes her practice, beliefs, and other factors influencing her work with ELLs with disabilities. Finally, the teacher's experiences are used as a lens to discuss implications for the education of ELLs with disabilities and the preparation of teachers to work with this student population.