We present the first direct comparison of language production in brain-injured children and adults, using agecorrected z scores for multiple lexical and grammatical measures. Spontaneous speech samples were elicited in a structured biographical interview from 38 children (5-8 years of age), 24 with congenital left-hemisphere damage (LHD) and 14 with congenital right-hemisphere damage (RHD), compared with 38 age-and gender-matched controls, 21 adults with unilateral injuries (14 LHD, 7 RHD), and 12 adult controls. Adults with LHD showed severe and contrasting profiles of impairment across all measures (including classic differences between fluent and nonfluent aphasia). Adults with RHD (and three nonaphasic adults with LHD) showed fluent but disinhibited and sometimes empty speech. None of these qualitative or quantitative deviations were observed in children with unilateral brain injury, who were in the normal range for their age on all measures. There were no significant differences between children with LHD and RHD on any measure. When LHD children were compared directly with LHD adults using age-corrected z scores, the children scored far better than their adult counterparts on structural measures. These results provide the first systematic confirmation of differential free-speech outcomes in children and adults, and offer strong evidence for neural and behavioral plasticity following early brain damage.For more than 3000 years, we have known that language production can be damaged or lost following brain injury (O'Neill, 1980), and since the 1860's we have also known that language deficits are overwhelmingly more likely if the injury involves the left side of the brain (Cotard, 1868, cited in Woods & Teuber, 1978Bernhardt, 1897). To account for these longstanding and well-documented facts, it seems reasonable to hypothesize that the left side of the human brain contains some kind of specialized organ for language and speech (Fodor, 1983;Newmeyer, 1997;Pinker, 1994; Rice, 1996), one that should be observable in its approximate adult form at birth, not unlike the liver or the heart. This hypothesis is buttressed by studies showing that adult-like structural asymmetries between the left and right sides of the brain are evident at and before birth (Witelson & Pallie, 1973), and by electrophysiological studies showing that the left side of the brain is significantly more active in response to complex auditory stimuli (including speech) in the human infant (Molfese & Segalowitz, 1988).In view of all these facts, it is difficult to understand why adults and children who acquired unilateral brain injuries early in life perform so well on language tasks (Bates, 1999;Bates, Vicari, & Trauner, 1999;Eisele & Aram, 1995;Elman et al., 1996;Feldman, Holland, Kemp, & Janosky, 1992; Nass, in press;Stiles, Bates, Thal, Trauner, & Reilly, 1998;Vargha-Khadem, Isaacs, & Muter, 1994;Vicari et al., 2000). In fact, in the absence of confounding factors (e.g., intractable seizures-Vargha-Khadem, Isaacs, van der Werf, Robb, ...