@nrb1942 - there really wasn't any extra equipment I needed for my reverse TSR. Just make sure that they will be giving you an immobilizer type sling with velcro attachments for elbow and wrist, and not a traditional shoulder sling. The immobilizer allows you to detach your wrist as needed for small tasks moving your hand forward, but still keeps your shoulder immobile, being firmly attached to the waist at the elbow.