Developmental delays are common and can involve either a single domain or multiple domains of the child’s functioning.Early identification of developmental delays and appropriate management can positively alter the child’s developmental trajectory.Primary care physicians play a pivotal role in early identification of developmental delays through developmental screening and surveillance.For children presenting with mild developmental delays and in the absence of any red flags, appropriate stimulation activities can be suggested, with close monitoring of the child.There should be a low threshold for specialist referral for children at high risk for developmental problems, such as those who are in care, have an underlying chronic medical condition, or have a primary caregiver with a mental health problem.