Feeding problems are estimated to occur in up to 25% of normally developing children and in up to 35% of children with neurodevelopmental disabilities. One common definition of feeding problems is the inability or refusal to eat certain foods. Problems with feeding may lead to significant negative nutritional, developmental and psychological sequel. Because the severity of these sequel is related to the age at onset, degree and duration of the feeding problem, early recognition and management are important. The purpose of this paper is to provide guidelines to identify feeding problems in the first three years of life; to present a newly developed instrument to assess the presence of feeding problems and monitor the effects of management; and to describe basic management strategies that may eliminate or improve feeding dysfunction.