Wheelchair ramps without handrails allow custom handrail configurations to be installed. They also install in cramped areas where space limitations prevent handrails, when ramps are short and low to the ground, or temporary installations when local and federal regulations do not require handrails.

Wheelchair ramps with handrails provide additional stability over ramps without handrails. Handrails also create a barrier on the sides to ensure users don't fall off the ramp.