Increasing numbers of deaf students in the health professions require accommodations in the clinical setting to ensure effective learning and accurate communication. Although classroom learning barriers have long been identified and addressed, barriers to clinical education have been far less analyzed. Operating room clerkships, which include many competing auditory and visual stimuli, pose unique obstacles to deaf students. Disability Services worked collaboratively with other campus offices to accommodate a fourth-year medical student with almost complete hearing loss in an anesthesia clerkship who had limited knowledge of any manual language such as ASL. Accommodations implemented for the student are reviewed within the context of their successes and challenges, with the goal of providing a roadmap for future deaf graduate health sciences students in the operating room environment.