The family conference is a common occurrence in many medical and community settings, yet there is limited literature concerning its practice particularly in relation to rehabilitation. The function and process of conferences are often based on practice wisdom and tradition and are informed by the particular medical condition or disability the conference attempts to address. There are mixed reports concerning the level of participation and satisfaction of participants, that is, the client, family members and professionals, in conferences, and few related to the capacity of conferences to meet intended goals. The purpose of this paper is to review the current literature concerning family conferences and discuss its application to one practice setting. In one spinal injuries unit, a quality review that drew on available evidence concerning the purpose and functions of family conferences has prompted a number of practice improvements in two stages. Most recently the "family conference" has been renamed "RAP" (Rehabilitation and Planning) Conference that more properly reflects its purpose and functions. Preparatory and education strategies have been developed for participating professionals and improved client preparation has been supported through the provision of complementary information provision methods.