This book has been written for parents of children with upper limb deficiencies (and those who are just about to become parents of children with upper limb deficiencies). It may also be of interest and useful to other family members and older children with limb deficiencies. Many of these parents and soon to be parents have joined Reach, an association (and a somewhat amazing association) supporting children with upper limb deficiencies and their families. There are many types of hand or arm deficiency. Some Reach children are born this way. Some have had accidents. Reach membership covers them all. The anomaly is so varied that obtaining support can be difficult. Only 60 babies a year are born in the UK and Ireland with an upper limb deficiency, so health care professionals do not really see enough cases to build up expertise. This publication will therefore also be of interest to a wider audience, including health professionals and teachers. It may be useful for parents of children with other types of visible differences too, and of interest to those whose lives may not be personally touched by disability, but are interested in other's life experiences.