Introduction l-tryptophan is the precursor of serotonin. Serotonin regulates the secretion of pituitary growth hormonewhich in turn stimulates production of insulin-like growth factors (IGFs). IGFs are necessary for development and growth.We reviewed the most recent literature regarding the role of serotonin/growth hormone/IGF-I axis on development and growth. The link between serotonin, growth hormone and IGF production is widely reported in the literature. Many studies demonstrate impaired growth and development in off spring of pregnant rats with low levels of plasmatic serotonin. The most recent literature shows the possible negative influence of serotonin in excess on differentiation of serotonergic neurons with consequent reduction in pituitary growth hormone production, which has a direct effect on hepatic production of IGF-I, particularly in the post-natal period. Recent literature also shows that hyperserotonemia in pregnant rats causes disorders in offspring, such as lower body mass and a lower survival rate. In addition, data show that high serotonin levels could inhibit development of serotonin neurons and lead to