Children with congenital heart disease and facial burns were compared on 10 measures of adjustment in order to test the effects of invisible and visible disability upon their social and psychological development. Interview data were coded and submitted to analysis of covariance, using sex, grade, and age as covariates. The group with invisible disability, the heart group, was higher in adjustment in all 10 measures. Differences at the .01 level were obtained on vocational aspirations and origin of interest. Differences at the .01 level were obtained on career plans after high school, self-image, and work values. An invisible disability with severe physical limitations, congenital heart disease, has less deleterious effects upon social adjustment than does a visible disability without physical limitations, facial disfigurement.