This study examines factors contributing to parents' selection of a communication mode to use with their children with hearing loss. More than 90% of children with prelingual hearing loss have normally hearing parents. Communication difficulties are among the obstacles facing these parents in connection with these children's development. Controversy over manual and aural/oral methods of communication creates further complications. Case studies of two families with deaf children were conducted to identify factors that could influence parents' selection of a communication method. Semistructured questionnaires and unstructured interviews were used in data collection. A qualitative approach was used in data analysis. Based on the results, the factors influencing parental choice were grouped under four themes: (a) the influence of information provided to parents, (b) parents' perceptions of assistive technology, (c) attitudes of service professionals and educational authorities, and (d) quality and availability of support services. Implications of these themes for service provision are discussed.