Vocational rehabilitation (VR) is a program and service that has been identified with the state–federal VR program for so many years that in the minds of many, the provided rehabilitation counseling service and the state–federal VR program are one and the same. This chapter discusses the roles of the rehabilitation counselor in private practice. It explains the areas of employment in vocational rehabilitation private practice and helps the reader differentiate the duties of a case manager from those of a vocational expert and those of a life care planner. The chapter discusses ethical considerations for the private practitioner and explains the litigation process in which private practitioners participate. The emerging opportunities are diverse and offer many new areas where experienced counselors can apply their knowledge, skills, and abilities. Many opportunities now exist in the area of private for-profit rehabilitation.