This chapter reviews the operational experience of the Special Needs Trust Company Ltd (SNTC), Singapore’s first not-for-profit special needs trust organisation. It first introduces SNTC’s present situation, including its background, the number of trust accounts, its organisational structure and the funding arrangements. It then analyses the challenges of SNTC trust in the past 10 years, including the low take-up rate and the operational difficulties at different stages, as well as SNTC’s efforts to solve them. With the prior experience, SNTC is planning to fill the service gap in the community today concerning Singaporean elderly. However, the analysis reveals that certain work processes have to be in place and improvements are necessary to support this new service.