This chapter discusses music in the context of media accessibility. It defines both music and accessibility in relation to each other, and proceeds to consider what making music accessible has meant, in the West at least, since the Modern period. It then presents an overview of the services offered (or not) for music in the twenty-first century, emphasising the gap between classical and popular music, and the breadth of media formats for which they are required, from film to live events. The next section situates music accessibility theoretically within both translation studies and disabilities studies arguing for an interdisciplinary and holistic approach. Finally, the paradox of music as a leader in the media industry but as lagging behind as regards accessibility services is discussed in the context of what is possible and desirable in the near future.