This study was conducted in routine multi disciplinary Spina Bifida Clinics. A two page descriptive questionnaire was given to 53 patients enabling us to assess and compare selected nutrients. A Nurse Specialist provided information on success (or lack there of) in achieving proper stooling consistency.Data were analyzed for patterns in fluid intake, calcium intake, frequency and variability of fruit and vegetable intake. Constipation tendencies as perceived by the parent and the Nurse Specialist were also obtained.Twelve percent of the participants were taking less than or equal to 50% of their fluid needs for the day. Twenty-six percent were taking less than or equal to 50% of their calcium needs for the day. Thirty-six percent of the participants had only one or fewer servings of fruit and vegetables/day (not counting juice and potato). Of those individuals, 9 out of 19 (17%) listed 10 or fewer fruits and vegetables as being “liked”. However, 10 out of 19 (19%) liked at least 10 or more different fruits and vegetables, but do not appear to routinely eat them. Our Nurse Specialist defined 54% of the patients as being constipated. Thirty-four percent of the parents defined their child as being constipated. The nurse and the parents agreed on constipation tendencies in 29 out of 53 cases (55%) of the time. This study supports the need for Medical Nutrition Therapy to educate this patient population on calcium needs, hydration, adequate fiber intake, and constipation issues.