Okay, I've been trying to navigate this exact thing for a while now, and it's a weird puzzle. It's not just about writing a story and then, I dunno, adding accessibility after? That's backwards. I think you have to design it in from the ground up.
I see a lot of folks thinking accessibility is just a formatting checkbox for Amazon—alt text for images, clean HTML for screen readers. Which is important, yeah. But for an ASL writer, the real work is conceptual. The story's rhythm, its visual humor, the way tension builds spatially—that stuff is rooted in ASL's grammar and culture. Translating that to a static page means you're almost inventing a new literary style. You lose the movement, so you have to replace it with something equally visceral in prose.
My biggest hurdle has been finding editors who get it. They want to 'fix' the prose to sound more 'literary,' which often just means more hearing-centric. You need allies in the publishing process, folks who see your work as a feature, not a bug. I've had better luck with smaller indie presses focused on disability narratives than trying to force a square peg into a round hole at the big houses.
Honestly, sometimes it feels like building the plane while flying it. You're advocating, educating, and creating all at once.