This paper offers practical tips found useful in meeting the needs of children with special health problems within the classroom. It describes feeding techniques for children with gastrostomies or using nasal or oral gastric tubes. It outlines the implications of having a child with a tracheostomy in the classroom. Classroom management suggestions are provided, such as ways to prevent mix-ups of formulas and the importance of preparing emergency contingency plans. Considerations for the development of individualized education programs or individualized family services programs are outlined, such as empowering the child to assist in his or her care to the degree possible and being aware of the parents' needs. Suggestions are also offered for working with nurses in the classroom. (JDD)