Breaking had news is an important difficult skill. Doctors have been reported to be low in confidence in this skill, particularly in pediatric setting as medical education typically offers little formal preparation for this daunting task without proper training. The way in wich bad news is broken can have significant impact of recipient. Long term psychological adjustment and compliance with medical management. Consensus guidelin have been drawn up to aid this process. Firstcommunication of diagnosis of disability in child to the parents is an experience which is often never forgotten. The highly emotional state makes parents particularly sensitive to events around them. It has been suggested that way in which child's disability is disclosed affects the parent's adaptation to their children' condition, which may in turn influence the early treatment of the child.In this situation parent ale physician who clearly demonstrates a caring attitude & who allows them to talk & express their emotions. Parental dissatisfaction with. The process of breaking bad news is common. Use of a protocol for breaking bad. News can substantially improve the experience.