A cochlear implant (CI) is a technology assisted device that can be putted in the inner ear through a surgical procedure to help to provide a sense of sound for profoundly deaf or severely hard-ofhearing persons (NIDCD, 2013 and Peng et al., 2007). The present review was to uncover different (verbal and non-verbal, psychosocial, timing of implantation, and parental dilemma) challenges beyond the surgical procedures. Existing literatures in this area have been thoroughly reviewed based on eight themes. Themes were selected based on children's developmental needs. Concluding remarks, then, forwarded which constructed from the review.