The focus of this chapter is the multifaceted employment challenges faced by people with Tourette’s syndrome (TS) emphasising both structural barriers and personal experiences. We look at the disproportionate unemployment and underemployment rates of people with Tourette’s compared with their non-disabled counterparts. Despite the protective measures offered by legal frameworks such as the Equality Act 2010, people with Tourette’s frequently encounter discrimination in hiring processes and workplace retention. Drawing on participant testimonies, we reveal how a lack of tailored workplace adjustments, coupled with pervasive societal stigma, restricts career opportunities for those with Tourette’s. Many participants reported that their requests for reasonable adjustments were either ignored or implemented with minimal consultation, leading to feelings of isolation and marginalisation. Additionally, research highlights how fear of negative evaluation often prevents individuals with Tourette’s from disclosing their condition or seeking work adjustments, exacerbating their exclusion from workplace environments. The chapter ends by calling for more comprehensive training for employers, better inclusion practices, and a recognition of the unique contributions people with Tourette’s can make to the workforce. Finally, we suggest that employment for people with Tourette’s is not merely a matter of economic utility but essential for social participation, personal identity, and overall well-being.