Over the last several years, best practice guidelines for individuals with disorders of consciousness (DoC) have been published by groups in the United States, Europe, and the United Kingdom. These guidelines have focused almost exclusively on adults with DoC. Evidence informing best practices in assessment and management of pediatric disorders of consciousness is lacking. Published studies include primarily observational studies of small samples at single sites. Additionally, study samples are often heterogeneous in age and etiology injury. Moreover, assessment of young child with DoC is particularly challenging due to their immature nervous systems and limited repertoire of developmental skills. At this time, while published evidence to inform best practices in the assessment and management of pediatric DoC is lacking, foundational literature describing assessment practices, documenting outcomes, and exploring interventions for pediatric DoC is growing. In this session we will review the key literature that constitutes a base for future guidelines related to assessment and management of pediatric DoC and describe assessment and management strategies for pediatric DoC based on the existing literature and expert opinion.