This article presents the most common pediatric conditions that require gastrostomy tubes to maintain the child's nutritional status. It discusses the care of the child with a gastrostomy tube, including the feeding, changing, and maintenance techniques. The growth and developmental needs of these children, as well as the teaching and emotional support provided to the parents, is also presented. The use of gastrostomy tubes in the care of children with complex problems is common; however, nursing care of the child with a gastrostomy tube is not complex. Proper knowledge of tube maintenance and care is important in preventing complications that can have serious consequences.