Persons with spinal cord injury or disease (SCI/D) are at increased risk of developing pressure injuries. Pressure injuries are areas of damaged skin and tissue caused by long periods of pressure, or pressure in combination with shear. Pressure injuries can have a negative impact on one’s health and well-being. Therefore, maintenance of tissue integrity and pressure injury prevention is an important safety priority for those with lived experience. In this Peer Connections, we will share how SCI rehabilitation programs are working to decrease and prevent pressure injuries through the completion of self-directed or independent daily head to toe skin checks.