The new millennium has brought about great innovation and advancement in hearing technology, early detection and intervention. This in turn has altered expectations of what children with hearing impairment are really capable of in terms of listening, developing spoken language, and academic and social performance. In Singapore, with Universal Newborn Hearing Screening in place, babies with hearing impairment can be detected early and early intervention implemented by 6 months of age. To benefit from the "critical periods" of acoustic neurological and linguistic development, early identification of hearing impairment, medical intervention, use of appropriate amplification technology and effective habilitation are vital. Auditory-Verbal practice emphasises listening to access auditory information, so that these children have the opportunity to develop intelligible speech and spoken language. Auditory-Verbal practice supports ongoing individualised diagnostic therapy with parent participation, guidance, education and support by an Auditory-Verbal specialist. The goal of Auditory-Verbal therapy is to enable children with hearing loss to grow up in regular learning and living environments so that they can become independent, participating and contributing citizens in mainstream society.