Content substitution and/or picture-in-picture technology is used to provide a sign language window that provides a sign language interpretation of audio content in main program audio/video content. The sign language window can be selectively disabled by a user that does not wish to view the sign language video. Also, in some implementations, the user can move the sign language window to a desired location on the display. The desired location may be one of a plurality of pre-defined display locations. This abstract is not to be considered limiting, since other embodiments may deviate from the features described in this abstract.