Building on StudentsNS’ quality and accessibility values, this report discusses the systemic barriers that persons with disabilities face when pursuing post-secondary education. Providing an in-depth discussion of the supports and challenges found within the academic system, this paper begins to re-conceptualize how disability is viewed and accommodated. Nova Scotia has made great strides toward enabling persons with disabilities to access post-secondary education in the past several decades, but we still have a long way to go. Persons with disabilities remain among the most underrepresented and underemployed groups in Canada. Ensuring persons with disabilities have access to and adequate support during post-secondary education is fundamental if we want this to change. Programs aimed at increasing persons with disabilities’ participation in post-secondary education, and in the work force are often insufficient. Similarly, the supports offered by post-secondary institutions (funded through the province) could be improved to better support students with disabilities. We make suggestions for the post-secondary system to further develop present accessibility measures and improve the quality of education delivered to students with disabilities. Recognizing that providing support for students with disabilities is not purely an academic matter, this report will be complimented by future reports on campus health services, social determinants of access to post-secondary education, and discrimination and human rights.