There is very little consideration for people with disabilities in Bulgaria.

Sofia is almost totally inaccessible for wheel-chair users. Since the European Year for the Disabled, gradual improvements have been made, such as wheelchair ramps to the entrances of state and municipal buildings, Alexander Nevsky cathedral and a few more important sights.

One visitor commented on the excellent service at the airport, but from that initial welcome things deteriorated. A particular problem is the state of the pavements, which are not only cracked and full of un-covered manholes, but also often blocked by cars, forcing the pedestrian to walk on the street. Underpasses are also a problem - some have lifts but most have only ramps which are so steep they would be impossible to use for a wheelchair.

Most office buildings do not have wheelchair access, though new business centres should do.