Affordable 3D-printing technology may improve fabrication and accessibility of orthoses for individuals with impaired movement. The goal of my research is to leverage 3D-printing to improve the design of wrist-driven orthoses (WDOs) for individuals with spinal cord injury (SCI). Specifically, I have sought to improve comfort, aesthetics, and ease-of-use of WDOs while reducing fabrication time and increasing customizability using 3D-printing. WDOs are used by individuals who can move their wrist but have little to no mobility in their fingers. Through wrist flexion and extension, this device assists in opening and closing the hand. Unfortunately, current WDOs are laborious to fabricate, uncomfortable, and have poor aesthetics. The potential of 3D-printing for orthosis fabrication was evaluated with a group of orthotists. I modeled the 3D-printed WDO using computer-aided design software and asked orthotists to assemble and rate the device and provide feedback. The average assembly time decreased from 12+ hours for traditional metal WDOs to 1.5 hours and the device received average scores of 6.6, 6.6, and 7.6 on a scale of 1-10 (1 = poor, 10 = great) for function, aesthetics, and comfort, respectively. Based upon the orthotists’ feedback, I implemented design improvements and created a fatigue tester to ensure the device’s safety for extended use. The next round of testing focused on getting feedback from individuals who have had an SCI. The device enabled participants to achieve a three-jaw chuck grasp, which they could not achieve without it, improved performance in functional tasks, and was lighter than traditional devices. The device received average scores of 6.8, 6.5, and 8 for function, aesthetics, and comfort, respectively. Participants’ feedback was used to further improve the design. Upon finalizing the device design, fabrication method, and assembly manual, editable CAD models of the WDO design will be released for open-source development and use.