This Canadian study reports on the experiences of parents whose children use cochlear implants and on their perspectives prior to and following the transition to Auditory-Verbal therapy. A qualitative case study design, framed in social-ecological theory, guided this research. Data collection procedures included a family information questionnaire, observations, individual interviews and a discussion group. The study describes personal attributes that parents identified as helpful to them as they made this transition. It indicates the importance of support from family and the cochlear implant center's professionals. It highlights that funding from provincial Ministries, access to technology, therapy and speaking role models and an inclusive environment facilitate the transition to Auditory-Verbal therapy.