State-of-the-art treatment for childhood cancer has resulted in greater numbers of long-term survivors, but not without cost. Radiation, chemotherapy, and stem cell transplant can cause changes in learning abilities, motor skills, and social skills. Parents and educators need to remain vigilant for these changes and intervene as early as possible. Teachers and other school personnel may not be aware of how long-term effects can influence learning potential and school performance. The hospital school liaison can provide materials to help school personnel understand these issues, and can attend school meetings to provide additional information. Regardless of where your child is on the treatment continuum, there are federal laws that will assist you in the process of obtaining appropriate educational services for your child.