Personal assistance is personal assistance through which people with health problems disabled people can live a life that is as close as possible to the life of people without disabilities. Personal assistance gives people with disabilities the opportunity to live in their natural state environment, do not go to institutional or residential facilities and live life to the fullest my life. Although it is a young service in the Czech Republic, which has only just been introduced in the nineties of the twentieth century, it is an important, necessary and used service. I consider it meaningful because it gives people with disabilities a chance involvement in the lives of healthy people at all levels, in educational, work and social areas, strives for equal inclusion in society and at the same time it provides a preventive measure as it addresses a social handicap; therefore exclusion from society as a result of a health disadvantage. The aim of the contribution is to describe the process of personal assistance as a social service that reflects modern social trends and approaches that support the individuality of the individual and his full involvement in social unity.