The management of the pediatric neurosurgical patient requires a detailed understanding of the diagnosis and management of disorders of ICP. Frequently the care of these patients will require collaboration between several different teams of physicians. Most important, frequent and clear communication between the ICU physician and the neurosurgeon will facilitate the delivery of the best-quality care to these children. This chapter will identify and discuss issues relevant to neurosurgeons and intensive care physicians taking care of children with complex problems related increased intracranial pressure.