Demographics in the United States are requiring dysphagia clinicians to provide increasingly relevant services, with special attention being paid to the culture of the patient. Today's clinician is challenged to broaden the definition of culture and provide culturally sensitive services to all patients. In addition to ethnicity, culture includes behaviors, beliefs, and values of a variety of groups of individuals. Current terminology is discussed and the impact on dysphagia services explored. Language barriers, healthcare disparities, and end-of-life issues are introduced. The article ends with specific clinical suggestions for practice. Resources for additional information are provided.