I first met Robert Woo in 2011, during his third time walking in a powered exoskeleton . The architect had been paralyzed in a construction accident four years earlier, but he was determined to get back on his feet. Watching him clunk across a rehab room in an exoskeleton prototype, the technology felt astonishing. I had the same reaction when reporting on early brain-computer interfaces ( BCIs ), which enabled paralyzed people to move robotic arms or communicate by thought alone . Both types of bionic technology seemed to verge on magic.

But that initial sense of awe, I’ve learned over many years of reporting on these technologies, is only a starting point. What matters is not what these systems can do in a carefully staged demo but how they perform in the real world. Do they work reliably? Can people with disabilities use them for their intended purposes? And what does it actually cost—in time, effort, and trade-offs—to do so?…