The D-Slim cushion by DDO is probably the most affordable low profile, light weight, pressure relief cushion available on the market. The cushion enables easy customization anywhere in the field to suit the user needs. The D-Slim includes a contoured base, a top “interface” layer of high quality foam, and unique features which enhance pressure management and positioning. The D-Slim was tested and met all the requirements for US Medicare coding for the E2603 Skin Protection Cushion. The design is consistent with the World Health Organization Guidelines on the Provision of Manual Wheelchairs in Less Resourced Settings and perfectly complements the Wheelchair Service Training Packages.