The Sound Start Babies Early Intervention Program has provided innovative life-changing services to over 1,000 hearing impaired babies and their families since its inception in 1969. Sound Start provides access to quality, intensive listening and spoken language, total communication (sign and spoken language combined), and educational services to babies with hearing loss from eleven counties in northern New Jersey. More than 50% of participants are from low income families, 59% from multilingual homes, and 50% have multiple associated disabilities, i.e. various syndromes including craniofacial anomalies, vision problems, feeding disorders, and fine and gross motor disabilities. With appropriate early intervention during the most critical period for language development, from birth to age 3, these babies can develop language skills commensurate with their hearing peers. Our graduates have become mainstreamed in the classroom, resulting in savings to school districts and communities. Sound Start opens a world of opportunities for these children. There are many success stories of graduates who are leading full and productive lives as workers and professionals in various fields and disciplines. One example is a young woman who is currently a doctoral candidate and teaching English classes at a college in North Carolina. Another graduate is a Julliard trained cellist. Providing unique listening and speaking opportunities improves measurable outcomes and affords the intangibles of hope and confidence for hearing impaired babies and their families.