A panel of experts, participating in a Delphi poll, identified significant issues facing psychosocial aspects of health care for children in the future. In three rounds of feedback and evaluation, ten top future issues were composited in rank order: chronic illness and complex health care needs; sociogenic problems; unequal access to health care; lack of financial resources for psychosocial services; increased focus on prevention; children without primary caregivers; complex ethical questions; family-centered care; training of health care professionals; and interdisciplinary integration. Implications of these issues are discussed.