Hearing conservation programs are typically designed to protect workers with normal hearing, but they must also consider those workers that have already been impacted by hearing loss or impairment. Many workers in high-noise environments have already experienced varying degrees of hearing loss and may have special needs. What can be done to keep them protected, but still allow them to continue with their daily activities? These workers face numerous challenges, even in quiet environments, including difficulty communicating with colleagues and problems differentiating important sounds or alarms from other background noises. Some workers may even face differing levels of tinnitus or ringing in the ears.