Alice Rajaratnam is occupational therapist and manager of the resource center of the Dublin branch of the Irish Association for Spina Bifida and Hydrocephalus. She has extensive experience with growing children with Spina Bifida and Hydrocephalus. Independence is not only a set of learned skills, but an attitude which must be instilled in the child as early as possible. The three first years in life are crucial in the development of the child. Alice gave an overview from her 26 years of practice in counseling youngsters with Spina Bifida and Hydrocephalus on several developmental issues.