Although thousands of new and refurbished wheelchairs are donated each year to children with disabilities (CWD) in developing countries, there is currently no evidence base in the literature to support this practice. The purposes of this qualitative research study were to: 1) explore, from the perspective of caregivers, the experience of receiving and using a wheelchair donated for a non-ambulatory child in Guatemala; and 2) identify local services perceived by caregivers as needed or desired to support the use of the wheelchairs.