@dpso - I'm asked same question by family and friends, and I drive fine. Since I have PN with bilateral drop foot, I was prescribed AFO's made by Ottobock which eliminate the slapping of the foot and provide me with much better balance. I can feel the pressure of the gas peddle and pressure on the brake. I think the AFO's help a lot. I also don't drive more than 90 minutes without getting out and walking around for 5 minutes. Also, hand controls might be an option. From what I've read, good idea to have a certified dealership for that made vehicle install the hand controls. Ed