There are many different types of hand controls available, just as there are many different reason why you have them or are thinking you might need them. First you have to determine what style or operation is necessary for you. If you have been driving with hand controls for sometime now then you already have an idea. If this is the beginning of the road for you driving with hand controls you are strongly recommended and in some state required to have a professional driver evaluator help determine what will work best for you. Because of the range of controls it's also wise to get evaluated to not only gain the confidence of driving with them but also make sure you are not spending hundreds if not thousands more than what's necessary. Once the make, and model of control is determined you are on your way to regaining the freedom of driving where you want when you want!