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Nine patients with spinal cord injury from C4-C7 were interviewed about changes in quality of life after continent urinary diversion. Significant improvement was seen in the total score (p < .008) and personal development subscale (p < .012) of the Life Satisfaction Index for Adolescents (LSIA), the physical independence subscale of the Craig Handicap Assessment and Reporting Technique (CHART) (p < .043), the Functional Independence Measure (FIM) for toileting (p < .026) and bladder management (p < .016), and overall satisfaction (p < .007). We conclude that continent urinary diversion improved the quality of life in pediatric spinal-cord-injured patients with tetraplegia.