The intent of this study is to reveal essential elements learned by reflecting and analyzing the applied design process in developing a specialized garment for a child with Spinal Muscular Atrophy (SMA). I researched and determined the clothing needs of one child with SMA, designed and created a pair of adaptive pants based on the needs of the child, tested the final product through a trial wear of the adaptive pants, and I evaluated and revised the adaptive pants. Through this study I also determined ways in which my design process can inform my teaching of applied design in my elementary art classroom.