While there has been a long-standing practice of providing service options for students with disabilities within the K-12 classroom, universities have less experience and fewer resources in this area. University students who have been diagnosed with a disability are expected to self-advocate and produce sufficient evidence in order to access disability services within their chosen university. Teachers in the K-12 classroom have an abundance of research to explore when looking for strategies that work to help their students with special needs succeed. On the opposite end of the spectrum, university instructors have little to no direct experience in the nuances of providing adequate educational opportunities to adults with diagnosed disabilities. This article provides information on the current research on serving adults with disabilities at the university level. It also gives information concerning barriers for students with disabilities and recommendations for removing those barriers.