Abstract The purpose of the research was to investigate elementary school teachers' knowledge, skills and perceptions toward using high-tech assistive technology (AT) for students with learning disabilities in Saudi Araba. A quantitative approach was adopted in this investigation. A sample of 264 teachers who participated in an online survey was used in this study. SPSS version 25 software was used for data analysis, which included descriptive statistics and Analysis of Variance. The results showed that teachers' self-reported perceptions of high-tech AT are significant predictors of teachers' knowledge and skills related to high-tech AT use. The research is significant as it provides a unique contribution to the existing literature on high-tech AT use in relation to elementary teacher perceptions, knowledge and skills in Saudi Arabia.