Studies relating to the psychosocial aspects of short stature and pubertal delay are reviewed. Although IQ scores show a statistical correlation with stature, significant intellectual, psychological, or academic deficits have not been consistently demonstrated for short children. However, hypopituitary growth failure is associated with poor social adjustment as an adult despite growth hormone therapy. The reasons for this remain unclear. Constitutional pubertal delay in boys can lead to social and academic problems. Treatment with a short course of testosterone can be beneficial in selected cases. Psychosocial considerations should play a major role in the treatment of short stature and pubertal delay.