Pediatric treatment can be rewarding and yet very challenging; trying to decide when ambulation is possible or when it is time to transition the child to wheeled mobility is a common topic for treating clinicians. One thing we know for sure, is setting these children up for maximal potential to enhance their safety, independence and growth is top priority. This course will explore the equipment options for growing bodies and changing skills – all while keeping the child’s mobility goals at the forefront of the decision-making process. Through a review of the current research and various case examples, this hour-long course will highlight the importance of providing access to independent mobility to maximize a child’s cognitive, perceptual, and socialization skills. Additionally, methods of optimizing the fit of a manual mobility device for a growing client will be detailed. Time will be allotted for audience participation and discussion.