Spinal Cord Injury (SCI) results in total or varying degree of loss of sensation and motor functions below the level of injury. However, there are many complex chronic issues that are ''unseen'' like bladder or bowel function; spasticity'' pressure ulcers and urinary tract infections - all affecting a persons' quality of life. This seminar gives a personal insight into living with spinal order injury (Ralph) and how latest research is tackling chronic issues (Nigel).