The number of bilingual clients in need of speech and language services in their native language is increasing at a rapid pace in the United States. For this reason, speakers of another language than English are encouraged to enter the field of speech and language pathology. However, in many instances concern is voiced by clinical supervisors and even clients who are native English-speakers about these clinicians' perceived foreign accent because they are concerned about its impact on delivery of effective services. Although a recent American Speech-Language-Hearing Association position paper (1997) indicated that a nonstandard dialect or an accent should not be interfering with provision of adequate services, there is no sufficient data to support this statement. This article describes the responses of bilingual clinicians from California to questions related to foreign accent, intelligibility, and implications for successful service delivery. A list of ideas for future research in this area is outlined.