Selenium is a trace element of tremendous importance in human health. It is a constituent of the antioxidant enzyme. Glutathione peroxidase and therefore is vital to antioxidant defense. Several diseases of the neonate have been shown to be caused at least in part by oxygen free radicals. These include bronchopulmonary dysplasia retinopathy of prematurity necrotising enterocolitis patient ductus arteriosus and neuronal injury of hypoxic ischemic encephalopathy. Good selenium nutrition is therefore of key importance to antioxidant defense in the neonate. The communique reviews the important role that selenium might play in neonatal health & disease.