Since I started working in the field of brain injury rehabilitation twenty seven years ago I have noticed several developments and these are almost certainly for the better. Not all are new developments as Poppelreuter was describing some of them as long ago as 1917. Indeed, the rehabilitation programmes set up for the German soldiers who survived gun shot wounds to the head in the first world war are better than many rehabilitation programmes in existence today. Nevertheless, the early twenty first century is an exciting time to be working in rehabilitation and the future looks promising. To my mind, the most important and influential developments in the past decade are those I list below. 1. Rehabilitation is now seen as a partnership between people with brain injury, their families and health service staff. 2. Goal planning is becoming increasingly established as one of the major methods for designing rehabilitation programmes. 3. Cognitive, emotional and psychosocial deficits are interlinked and all should be addressed in neuropsychological treatment programmes. 4. Technology is playing (and will continue to play) an increasing part in the understanding of brain injury and in enabling brain injured people to compensate for their difficulties. 5. Rehabilitation is beginning to take place in intensive care, it is not solely for those people who are medically stable. 6. There is a growing belief that neuropsychological rehabilitation is a field that needs a broad theoretical base incorporating frameworks, models and methodologies from a number of different fields.