I have bought this book recently for my son who has cerebral palsy and other special needs. He loves it because he can press the buttons and get the sounds and for him, it is a good example of cause and effect. I will definitely buy more books of this type. As a matter of fact, I have my eyes on the new book from the same author, I think it is Planes, lift and look, it is not noisy as it is a lift the flap but it seems excellent too for a child child with special needs. A bit pricey but I am sure will be well worth it. In the mean time, I give this book 5 stars.