If, for some reason, you are creating a button from scratch, instead of relying on UIButton (perhaps you are adding a fancy micro interaction animation?), take into account that you’ll need to configure the button accessibility trait.
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@azzoor has this great video with some advice on how to set up your device for testing accessibility and a ton of tips will get you testing effectively in no time. https://m.youtube.com/watch?v=Ca1H6wF348g&feature=youtu.be

With accessibilityRepresentation(representation:), you can create a custom component and it can be perceived by assistive technologies as the view you pass as representation. No need to manually configure accessibility attributes. It is one of the most interesting additions to SwiftUI to help you develop accessible UI components. If your custom component behaves similarly to a native one, this is the way to go. https://developer.apple.com/documentation/swiftui/view/accessibilityrepresentation(representation:)

Support both orientations, if possible. I know not even iOS itself does it, but it hasn't always been like that. You'll create a more robust UI that will be easier to port to iPadOS. And especially, don't force your users to rotate their devices.
Content © Daniel Devesa Derksen-Staats on Accessibility up to 11! is licensed under CC BY 4.0. License details