A method of remotely programming a cochlear implant comprises, at a remote patient location attendable by a patient, operatively coupling the cochlear implant to a remote programming computer configured to generate a signal to program the cochlear implant. The patient is provided with a remote video conferencing system configured to receive video and audio of a local operator remotely programming the cochlear implant to enable the patient to both hear and see a face of the local operator during programming to enable the patient to read lips of the local operator to supplement hearing of the patient in communicating with the local operator. At a local programming location, the local operator accesses a local programming computer that is communicationally coupled to the remote programming computer by which the local operator at the local programming location can interactively control the remote programming computer to program the cochlear implant.