The purpose of this article is to explore strategies for implementing personal assistance (PA) for persons with disabilities (PWDs) in Taiwan, based on the experiences in Sweden and Sapporo, Japan. After conducting pilot projects and reform, choice, control, flexibility and self-responsibility are the four core elements of PA for PWDs in Sweden and Sapporo, Japan. Direct payment is a key feature, which turns PWDs from passive service recipients into those with the power to purchase services. In terms of needs assessment, assessment professionals in Sweden conducted open interviews to gather information, then had discussions with PWDs to determine the amount of time of PA needed to meet their fundamental needs. By contrast, the needs assessment for PA in Sapporo was conducted with a quantitative and qualitative assessment tool, which is as a welfare evaluation tool for PWDs in Japan. The implications for the PA policy in Taiwan are as follows: first, it is necessary that the PA policy progress towards providing more choice, control, flexibility and self-responsibility. For example, the policy could focus on building the infrastructure to transition between home care service and PA. Second, Taiwanese policy should consider "the tool for the needs assessment of welfare services for PWDs under People with Disabilities Rights Protection Act" as a major needs assessment tool. It is based on multiple dimensions and balances the subjectivity of PWDs against the objectivity of the assessor. Finally, in order to draft the PA policy with provision of choice, control, and flexibility, Taiwan needs to conduct pilot projects; disability groups and other related organizations are invited to discuss the transition infrastructure between home care service and PA and the way PWDs should receive payment to purchase PA.