Given the applicability of measurement to real-world problem solving and the importance of measurement understanding to accessing more advanced mathematics, improving instruction on foundational measurement skills for struggling learners is crucial. Although interventions targeting measurement have a smaller research base than other areas of mathematics, such as whole numbers, teachers may draw from the larger research base on effective mathematics instruction to teach the critical concepts and skills of linear measurement. This article provides six evidence-based recommendations for supporting students with mathematics learning disabilities (MLD) to develop conceptual understanding and procedural skills in linear measurement, followed by brief vignettes to illustrate how teachers can enact each recommendation.