Ninety percent of children with special health care needs are now surviving to adulthood. Despite this, seamless transition to adult or family practices does not occur. Only approximately 40 % of nationally surveyed children with special health care needs received the services important for transition, 38 % of those families did so in New York State. According to the National Survey of Children's Health, there are a little more than 570,000 children in New York State with special health care needs, 15.3% are between 12-17 years. Less than 50% of pediatricians when surveyed in a national survey assisted with the transition process of their patients. Targeting pediatricians who are members of the three AAP chapters in New York State, information about the current practice of transitioning patients to adulthood will be obtained through an online survey. Pediatricians will be asked about their approach to transition, the resources they have available for transition planning, the tools they have used for this purpose, the solutions they have found that work well, and the barriers to performing transition planning.