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Objective: To determine the level of understanding and use of augmentative and alternative communication devices in Pakistani speech pathologists.

Methods: The cross-sectional survey was conducted from January to June 2015 in six major cities of Pakistan: Islamabad, Rawalpindi, Lahore, Karachi, Quetta and Peshawar. It comprised speech and language pathologists who were asked to fill a questionnaire that consisted of10 questions. Data was analysed using SPSS17.

Result: Overall calculated mean and standard error of mean from the respondents who agreed and strongly agreed regarding understanding, opinion-assessment and treatment about augmentative and alternative communication was153±36.373 and 12.124 respectively.

Conclusion: Speech pathologists had understanding of assessing and working with individuals using augmentative and alternative communication.