In this inspiring presentation, pianist and researcher Eri Yoshimura shares her personal journey overcoming physical limitations with the help of an ergonomically modified piano keyboard. After enduring pain and discouragement under rigid training in Japan, her experience at the University of North Texas and the “Music and Medicine” program introduced her to custom-sized keyboards. These innovations not only enabled greater comfort and artistry in performance but also drove research and advocacy for inclusivity and occupational health in music education. Eri’s story champions the global movement to make adapted instruments and musician health central in the future of music schools.