Background:  Drooling is a common dysfunction in children with cerebral palsy and may also affect neurologically unimpaired children. It causes significant social handicap to both children and their families.

Methods:  The data in this article are supported by a Medline search (November 2008) utilising the keywords drooling, sialorrhea, botulinium toxin, salivary duct ligation and also by the use of the personal bibliographies of the senior authors.

Results:  The majority of the published literature for drooling is of level III/IV evidence.

Conclusion:  Multiple therapeutic interventions are available for paediatric drooling. These are most appropriately introduced in a stepwise progression from behaviour therapy, to pharmacotherapy to surgical procedures.