The objectives of the symposium were to define the problems of the child with spina bifida and to present practical means of management, using a multi-disciplinary team approach. Eight papers defining the problem cover the epidemiology of spina bifida, pathophysiology, musculoskeletal defects, incontinence of bladder and bowel, problems of function and of intellect, socio-economic problems, and the family. Six papers concern the following aspects of management: comprehensive management of the newborn, immediate repair, urologic management, management of hydrocephalus, mobility, and problem solving in management. Four papers discuss the older child in terms of educational programs, hip reconstruction, nursing, and adolescence. (KW)