Making ebooks accessible presents challenges in content, metadata, and platforms. Content varies across publishers in terms of inclusion of semantic tags and alternative text. Platforms must retain publishers' accessibility features while meeting standards for skip navigation, testing with assistive technologies, and addressing legacy code issues. Metadata also has inconsistencies across standards for describing accessibility information. Opportunities exist to provide guidance to publishers, incentivize inclusive formats like EPUB, improve documentation for usability, and participate in certification programs.