A study was to determine if children with a meningomyelocele are at risk for having a lowered self-concept. Study participants included 19 children between the ages of 8 and 17 years who have a meningomyelocele and 30 children 8 to 17 years old without a meningomyelocele who were siblings of the children with a meningomyelocele. Self-concept was measured using the Piers-Harris Children's Self-Concept Scale, which the children completed in thier homes.One-way analysis of variance was applied to the self-concept total score and six cluster scores. No significant differences between groups were demonstrated for total self-concept. A significant difference (p≤.05) was found between groups for the anxiety self-concept cluster. There were no significant differences between preadolescent and adolescent groups of children with a meningomyelocele. When degree of disability was examined, the children who wore long leg braces showed a trend for lower anxiety and intellectual/school status cluster scores (p≤. 05).The study results indicate that children with a meningomyelocele did have some lower self-concept scores and that the degree of disability influenced certain aspects of self-concept.