Children up to 10 years of age are among the most difficult age groups to fit comfortably with eyeglasses. This is because their nose and ear’s characteristics are soft and rapidly changing and also because youngsters are typically careless in the way they handle their spectacles. Thus, dispensing glasses to kids is an art involving mechanical, physiological, and management skills. While dispensing glasses to children, the special attention must be given to some factors which are proper frame selection, taking accurate pupillary distance, common problems associated with dispensing glasses to kids, solving common problems encountered while fitting eyewear to children, and assuring compliance with wearing and caring instructions. All these factors are discussed briefly throughout this chapter.