This chapter provides detail description of sexual abuse of children and adolescents. Chapter has 7 well illustrated diagrams and pictures. Sexual abuse, presentation of sexual abuse, types of examination, child maltreatment and medico-legal terminology, interpretation of medical findings in child are described in detail with the help of excellent illustrations. 8 cases of sexual abuse are included to highlight different types of child sexual abuse. Bibliography has 5 references at the end of the chapter for further reading.