Objective – To explore the impact of manual wheelchair design on user’s satisfaction and function in individuals with spinal cord injury. Research design : Descriptive. Setting- SVNIRTAR and Regional spinal injury center (RSIC), Cuttack. Participants: 100 SCI patients using manual wheelchair for more than 6 months. Outcome measures: Functioning everyday with wheelchair (FEW) questionnaire, Quebec users evaluation of satisfaction with assistive technology (QUEST) Results and conclusion: The results of the study showed that majority of the participants were not satisfied with their wheelchair. There is an urgent need to prescribe wheelchair based on individual requirement along with modifications, if any. The lifespan of wheelchairs are pretty low compared to global standards.