The visual evoked potential (VEP) is an objective physiologic measurement of the electrical activation of the visual pathways of the brain that has become a valuable tool in vision research and clinical medicine. Most VEP studies have been performed on the adult and have been used most effectively as a test of optic nerve function. Although the VEP has been most widely used in cases of multiple sclerosis, 1 there are numerous other clinical conditions in which VEPs provide useful information. This chapter concerns the use of the VEP in evaluating the visual system of the infant and young child. Chapter 10 reviews the basic physiology of the developing visual system, particularly as this would relate to the development of the VEP.In this chapter observations about the manner in which the VEPs in children are obtained and interpreted are discussed, and illustrations of their usefulness in different clinical settings are provided. In the first section caveats concerning the techniques and settings used for collecting VEPs in children are given. The latter part of the chapter deals with the utility of the VEP in a variety of disorders affecting the nervous system. First, the usefulness in disorders of development of the visual pathways, in amblyopia ex anopsia, and in compressive lesions of the visual pathways is discussed. Second, the role of VEP in vascularischemic lesions of the visual pathways, metabolic and toxic disorders, demyelinating and dysmyelinating disorders of the developing nervous system, and hypoxicischemic encephalopathy of the premature infant is then reviewed. Finally, clinical issues concerning the use of the VEP in retinal lesions, in occipital infarcts, cortical malformations, and in the setting of dyslexia are discussed.