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In the winter season prior to the 2018 Winter Paralympics in PyeongChang, Mentel was unable to participate in a single competition due to medical complications. Due to her condition, most sponsors had given up on her, the Dutch Olympic Committee*Dutch Sports Federation did not support her, and the Dutch Skiing sports federation would only fund a small portion of her expenses. Mentel was able to obtain the required funds to compete at the 2018 Winter Paralympics through crowdfunding.

At the 2018 Winter Paralympics in PyeongChang, Mentel was once again the Dutch flag bearer, again winning the gold medal in the snowboard cross, as well as taking the gold medal on the banked slalom event, beating American competitor Brittani Coury by 0.07 seconds.

Since being diagnosed with cancer at age 27, Mentel has been confronted with, and treated against cancer nine times, including five surgeries. The most recent surgery, in January 2018, replaced her C6 neck vertebra with a titanium frame. In 2016 she was told the cancer was terminal, but a switch to different hospital, where she could receive advanced MRI-guided radiotherapy treatment, pulled her through, such that she was able to compete successfully in 2018.

Four months after the amputation she was able to ride a snowboard again, despite still being unable to walk using crutches. The following January she was asked to present the trophy at the Dutch championships halfpipe. She decided to compete in the Dutch snowboard cross championships, which she won — in the main class — not the handicapped, – her seventh Dutch championship. This inspired Mentel to work with Dutch member of the International Paralympic Committee Rita van Driel to get snowboarding adopted as a medal event at the paralympic Winter Games. After eight years of lobbying this was achieved in 2012.

In 2013 Mentel qualified for the 2014 Winter Paralympics. At the opening ceremony she was the flag bearer for the Netherlands. She won the Paralympic gold medal in the snowboard cross event.

In 2012, Mentel was invested as a Knight of the Order of Orange-Nassau.

In 2012 Mentel set up her own "Mentelity foundation", to stimulate, motivate, and inspire children and adolescents with a physical disability (to continue) to engage in sports, both in general, as well as in extreme board sports in particular. By this approach, and aided by the foundation's volunteers, she wants to make a positive contribution to the mental and physical development of the physically handicapped.

During a practice run for the championships in Breckenridge, Colorado in December 1999, she suffered an injury in her ankle. She completed the season, however the ankle remained a source of concern. X-rays showed a spot on her tibia which was diagnosed as a malignant bone tumor. The tumor was removed and Mentel started training for the 2002 Winter Olympics for which she qualified. Soon it became clear the tumor had regrown and had a chance of spreading to the rest of her body via her blood. She chose to have her leg amputated.

Mentel started her snowboard career in 1993. In 1996 she participated in her first FIS Snowboard World Cup competition. Mentel became six times Dutch champion in the regular, able-bodied half-pipe and snowboard cross disciplines, before being struck by medical troubles.

In 1993 Mentel gave up her lawschool study in Amsterdam to focus on snowboarding entirely. In 2004 Mentel graduated from the 4-year high-level professional program in 'commercial economics, sports marketing & management' at the Randstad Topsports Academy – a collaboration of the Hogeschool Rotterdam and the Saxion University of Applied Sciences, and in 2013 she became an 'International Master of Sport Management' at the Johan Cruyff Institute.

Bibian Mentel-Spee (born 27 September 1972) is a three-fold Winter Paralympics gold-medalist, and five-times world champion para-snowboarding athlete from the Netherlands. Bibian Mentel won the paralympic gold in the snowboard cross discipline in the 2014 and 2018 Paralympic Winter Games, as well as banked slalom in 2018, despite battling cancer nine times since the beginning of the century, and winning her 2018 medals at age 45.