When you first begin to learn to walk with your transfemoral prosthesis, you will likely use a cane or a walker. As you increase your balance, strength, confidence, you may not need to use an assistive device. Your physical therapist will help guide you through this process. Most transfemoral amputees begin walking with a walker, then graduate to using canes, and some eventually do not require an assistive device at all. Many above the knee amputees are able to use a transfemoral prosthesis without an assistive device.