This study focused on the perceptions of paraprofessionals regarding the roles they fulfill while working with children with disabilities in special education and inclusive settings. Students were in grades K-12 and represented a range of disability categories (e.g., autism spectrum disorders, serious emotional disturbance, development disabilities, and learning disabilities). Twenty-two paraprofessionals were interviewed using a semistructured interview guide to establish their understanding of their roles, responsibilities, teacher expectations, training needs, and challenges they experienced while working with others. Findings from this study indicate that paraprofessionals tend to assume high levels of responsibility for managing the academic and behavioral needs for all students. This article addresses ways to improve our own practices in how we work with paraprofessionals. (Contains 2 tables.)