This chapter will focus on the management of feeding difficulty in children with neurological problems where there is a readily identifiable organic component. In particular, the chapter focuses on the population of children with cerebral palsy. The first section outlines briefly the prevalence and clinical features of feeding difficulties, or dysphagia, in children with cerebral palsy. The second section provides an overview of the principles of assessment for this group, and the third section focuses on management of these problems. We take an integrationist perspective to managing dysphagia in complex disability, recognising that management by a skilled multidisciplinary team is essential.