This review analyzes approaches to intervention in children with developmental coordination disorder within the framework of how children develop and learn motor skills, drawing upon maturational, cognitive, and dynamic systems models. The approaches to intervention are divided into two categories: (1) process or deficit-oriented approaches; and (2) approaches that teach specific functional skills. These approaches are viewed alongside theoretical, empirical, and experiential standpoints, noting the differences and the fact no single approach is, as yet, fully substantiated. Principles and guidelines are drawn from the analyses that support both cognitive and dynamic models and that are set within an ecological framework.