This article examines the history of learning disabilities (LDs) on college campuses, from the introduction of the concept in the early 1960s to its spread throughout American higher education during the 1990s. At first, colleges offered relatively little assistance and urged students to compensate for their LDs by working harder and adopting recommended study strategies. After legal and institutional pressures compelled faculty members to provide accommodations for greater numbers of students, many professors worried about the legitimacy of the diagnosis and the possible threat to academic standards. While casting a somewhat sympathetic light on these concerns, the article concludes that many elements of this early set of accommodations were eventually regarded as pillars of competent instruction. This history illuminates the complex tension between institutional support and student responsibilities and the murky distinction between individual accommodations and universally-effective teaching.