In this final chapter, we give an overview of the therapies for living with aphasia that are continuing to develop and evolve at the aphasia centre, and which have been the subject of this book. We suggest ways in which such a therapy service might be made flexible and responsive to peoples’ changing priorities and concerns, given the realities of living with aphasia. Turning to outcomes measurement, we suggest some ways in which therapies might be evaluated. Drawing upon the experience of aphasia therapists working in different settings within the UK, we describe ways in which therapies for living with aphasia might be implemented within different contexts. Finally, we ask in what ways therapies for living with aphasia may be different from more traditional forms of intervention.