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This article considers the experience of supported decision-making in Canada and the lessons for the implementation and practice of supported decision-making that can be drawn from the Canadian experience to date. Supported decision-making has a long history in Canada with both legal and practice initiatives dating back to the 1970s. In Canada, most social policy and legislation related to decision-making, legal capacity, and support falls within provincial jurisdiction, so much of this article deals with provincial rather than national developments with a particular focus on British Columbia, which has the most developed system of supported decision-making.