As part of the Developmental Medicine Center, Boston Children’s Hospital has a dedicated Pains and Incontinence Program (PIP), which offers comprehensive clinical evaluations and treatment plans for children with toileting challenges from ages 4 through 16. Following an initial in-depth evaluation, our clinicians will create an individualized toileting plan based on the needs of your child. This may include treatment of constipation, behavioral interventions, and/or any appropriate referrals. The clinician will follow your child on a frequent ongoing basis to support you and your child. Additionally, some of our patients will attend a six-week “Toilet School” program, which is an innovative group approach to toileting difficulties for children between the ages of 4 years and 6 years, 11 months.