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The 2012 edition of international standards to document remaining autonomic function after spinal cord injury ( ISAFSCI ) is published in the journal of “Topics in Spinal Cord Injury Rehabilitation ( TSCIR )” by the American Spinal Injury Association ( ASIA ) and the International Spinal Cord Society ( ISCoS ). The remaining autonomic function after spinal cord injury ( SCI ) is assessed in the form of standardized sheets, and individualized treatment programs are provided for the patients. This is the 2nd revision after the 2009 edition, which is more convenient and practical. This interpretation mainly consists of the following aspects: background of the standards set, content, how to evaluate and problems in the clinical practice. It aims to provide some experience and advice to colleagues who are engaged in the treatment SCI, and valuable comments and suggestions on the imperfections will be highly appreciated. The detailed anatomical and functional aspects of the autonomic nervous system can be learned through its ofifcial website ( www. ASIAlearningcenter.com ), which will not be repeated here.