The main aim of this report is to describe the healthcare staff's perceptions and difficulties encountered in the relationship with foreign children and their families, collecting their personal judgment on their intercultural skills, on the necessity of training courses and their opinion related to the possible aid given by a linguistic and cultural mediator (LCM). We have carried out a survey in the paediatric health services of the Azienda Socio Sanitaria Territoriale (ASST) Lariana located in Como, through the provision of a questionnaire addressed to the healthcare staff. The questions presented in the survey relate to the relationship between the healthcare staff and the foreign patients, highlighting issues connected to linguistic and cultural factors in the use of the health services. The health professionals state that assistance to the minor and the foreign family is more complex (41.27%), more stressful (36.5%), more time-consuming (44.4%) but also more motivating (65.07%) than the assistance to native users. Referring to the figure of the LCM, 47 (74.6%) health workers believed it would be useful to integrate the role into the operational units. Through the analysis of data, the results obtained provide a picture of the challenges encountered between foreign citizens and medical staff, who admit a lack of intercultural skills. It is desirable to introduce the figure of a linguistic and cultural mediator, who could help both in terms of better management of the diagnostic and assistance path and in terms of staff satisfaction.