There is a growing awareness of the long-term consequences of undernutrition in childhood. Consequently, an ever-increasing number of children are receiving nutritional support using an enteral tube. While most of the children will commence artificial feeding in hospital, a significant proportion will continue to be artificially fed on discharge into the community. This article discusses the various routes of enteral tube feeding, their indications and contraindications and problem-solving procedures. The article also discusses the issues of cooperation and coordination between acute and community services, and offers some guidance on effective discharge planning for these children.