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This paper highlights the barriers to undertaking home modifications in Aboriginal housing including structural, social, cultural, and environmental. There is little theoretical difference between Aboriginal housing and other Australian social housing types; however specificity of culture and the socio-economic effects of colonialism are unique to this cohort. The cultural specificity and environmental challenges unique to Aboriginal housing demands a rigorous methodology in assessment and provision of home modifications. Employing inclusive design as a paradigm ensures an interrogation factoring in the widest range of barriers, uses, users, and outcomes.