Learning disability occurs in 10-15% of children. It is manifested by an imperfect ability to listen, think, speak, read, write, spell, calculate or interact. It may be specific as in dyslexia, dyscalculia, dysgraphia or nonspecific learning disability. In the latter group, there may be under-achievement despite average or above-average-intelligence, slow learners and mental retardation. Factors that may cause learning disability include genetic abnormalities, antenatal and perinatal insults, abnormal growth and malnutrition in early childhood, parental mode of upbringing, poor opportunity for learning, physical illness and emotional and social problems. Meticulous history taking and physical examination is important to arrive at a proper diagnosis so that the most appropriate management is given, often involving professionals working as a team.