This is a study on the approach of occupational therapy at the level of health rehabilitation, which focuses on the autonomy of patients with leprosy sequelae. Are themes of this research: the adoption of assistive technology in the care process, subjectivity, customer autonomy. The goals: to describe the impact of assistive technology in the autonomy of the subject; analyze the relationship between subject and technologies in the care process. A far as a qualitative study was preferred, the techniques used were semi-structured interview and participative observation. Having been made in the University Hospital Clementino Fraga Filho, Federal University of Rio de Janeiro, the research was performed between November/2014 and February/2015. Eight patients under treatment in the Occupational Therapy Service were interviewed. The kind of analysis chosen was the hermeneutics of the subject. As for the results, three categories were described and discussed. They are: the contribution of the devices in the patients´ routine and in self-care; the feelings and sensations arosen by the use of adapted instruments; and, finally, the patient’s perception about the health professional’s care. It is concluded that assistive technology is a potential tool with transformer in the rescue possibilities, through this; you can equip subject to the exercise of self-care and promote social inclusion. We note also that the study participants perceive the care received in our service as warm, sensitive and competent