Maryann Girardi and Doug Levine spend time with Larissa Bomberger on this podcast, a physical therapist out of Oregon who specializes in working with children with spina bifida. Together, they explore the benefits of supported standing for children with spina bifida, highlighting musculoskeletal gains, social–emotional impact, and the importance of making standing programs fun while fostering independence. They also discuss funding challenges and encourage clinicians to advocate and appeal when denials occur.