Aims Cochlear implantation has enabled thousands of people with profound deafness or non-serviceable hearing to regain communication, independence, and quality of life. Yet for many rural and regional Australians, access remains limited by geography, travel costs, and the intensive postoperative appointments in metropolitan centres, causing financial, social, and occupational strain. This case series explores practical solutions to these barriers, focusing on the role of remote mapping, and outlines a forthcoming prospective audit to evaluate broader implementation. Methods Three cochlear implant recipients from regional Victoria underwent successful remote mapping following surgery. Patients included an elderly farmer with bilateral profound sudden sensorineural hearing loss secondary to temporal bone fractures, and full-time working professionals. Activation and remote mapping were completed through tele-audiology platforms in collaboration with metropolitan implant audiologists. The full postoperative care sequence—initial activation at 2–4 weeks, remapping at 1 week, 1 month, 3 months, 6 months, and annual review occurred remotely. Results All patients achieved full device activation, consistent follow-up, and early functional hearing outcomes without requiring repeated travel to tertiary centres. Remote mapping reduced time away from work and enhanced satisfaction with post-operative care. Challenges included variable internet connectivity and co-ordination with regional providers, informing the design of a forthcoming prospective audit assessing accessibility, adherence, and patient experience across rural sites. Conclusions Remote mapping safely decentralises cochlear implant follow-up, providing equitable hearing rehabilitation for rural Australians. Building on this successful case series, a regional prospective audit will evaluate scalability and sustainability of tele-audiology-based implant care- thereby improving equity beyond metropolitan boundaries.