The Kotzur Cycle design process is designed to create the most appropriate custom cycle the rider can imagine. In the case of cyclists with a disability, the design of a custom cycle may involve the whole family, therapists, and medical specialists as well as inspiration from the world wide web in addition to comparisons and improvements from currently available products. 

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All cycles can be made bespoke to dangerous levels of expense with custom handmade components and very careful attention to design, fabrication, and finish. That said, they can be also designed to take account of a defined budget and use existing or remodelled cycles and other components to produce an appropriate design.