Feeding and gastrointestinal symptoms are common in children with cerebral palsy (CP) and if not appropriately managed can result in undernutrition, poor growth and worsened general health. Gastrointestinal difficulties include oropharyngeal dysfunction, drooling, foregut dysmotility and gastro-oesophageal reflux; as a result, gastro-oesophageal dysmotility, retching, delayed gastric emptying and chronic constipation can occur. The assessment and management of children with CP and comorbid gastrointestinal problems require a multidisciplinary team experienced in the management of children with CP and gastrointestinal problems. This chapter considers the gastrointestinal problems experienced by children with CP and outlines current management strategies.