As mentioned earlier, wheelchair tennis requires only a few pieces of equipment: a tennis racquet, ball and a wheelchair. No modifications are necessary for the racket and the ball. Players use a sports wheelchair. A Tennis wheelchair is lighter than everyday chairs to allow the athlete flexibility of movement, making the game more spectacular. The wheelchair is considered part of the player - therefore, general rules of contact apply. To keep the player stable on the chair, a positioning strap across the waist and/or thighs is used. Players with tetraplegia may not use either foot to propel a wheelchair.

Grip devices are designed specifically for players who do not have the grip strength to hold a racquet. Athletic tape and an Ace bandage wrap are two simple solutions to maintain a proper grip. Orthopedic racquet holders and "grasping gloves" are available if more support is required.

Arm and leg prosthetics are available for individuals who are amputees. Arm prosthetics can be adapted to grasp a tennis racquet.

Wheelchair tennis is played on the same courts and surfaces as able-bodied tennis.