The placement of a gastrostomy tube is one of the most commonly performed procedures in children, and many of these procedures are performed in Interventional Radiology. Patients with neurodevelopmental delay, gastroesophageal reflux disease or other cases of failure to thrive are often candidates for tube placement of gastrostomy tubes, percutaneous endoscopic gastrostomy tubes, gastrojejunal tubes, nasojejunal tubes and others. Advances in techniques have occurred which are less invasive and result in more rapid initiation of enteral feedings. This presentation will highlight the variety of tubes, patient selection criteria,  complications and management of these tubes.