There is no difference between the inherent musicality of people with impaired hearing and those with normal hearing. This applies even to the profoundly deaf, provided that music can adequately be perceived. Recognising the shortcomings of hearing aids designed primarily for speech, the author shows how music listening for the deaf can be very considerably improved by using readily available equipment to process sound in particular ways to compensate for different types of hearing deficiency. He observes that some deaf people seem able to perceive music, especially the pitch of notes, more clearly than others who are substantially less hearing impaired. A possible explanation for this paradox is given.