This scoping literature review addresses when and how is co-design used with adults with acquired neurological disability living in the community and what is the lived experience. It found that although co‑design is increasingly used in disability research and service development, its operationalisation with people with acquired neurological disability remains under‑researched and underutilised. This review shows that co‑design is an unfamiliar but meaningful process for this group, supporting greater community participation, social connectedness, belonging and learning. Future work is needed to better define and operationalise co-design, with investment in the facilitator role to optimise involvement of people with disability.