Aging and diseases often cause problems related to equilibrium disorders and risk of falls for older adults. Canes have been the most frequently used walking assistance devices which the elderly use because they are light and portable. Most existing walking canes are developed using a universal design. In this study questionnaires, surveys, and experimental design have helped identify the common features of canes used by a wide variety of people. However, older adults prefer custom-designed canes rather than canes with only commonly used features; those custom-designed canes better suit the needs of their individual lifestyles and environments. This study was conducted at Chang Gung Health and Culture Village (CGHCV) where researchers initially observed the daily life and cane usage of the older adult residents. Second, scenarios were developed and used to identify the cane requirements of various types of people. Third, the identified requirements for walking canes were transformed into technical specifications by using quality function deployment (QFD) methods. Finally, a prototype of a uniquely designed cane was developed and then evaluated by CGHCV residents.