Introduction: There is a growing importance of issues of patient autonomy in all fields of medicine. Pediactric cases in this respect deserve a special consideration which is different from adult cases. Cerebral palsy consists is a permanent lesion of the central nervous system committing, which has progressive negative consequences for the whole body. The therapeutic approach is multidisciplinary.Conflicts in discussions aect the implementation of applied-ethics in medicine.The gap between theoretical considerations, such as welfare, paternalism, allocation,equality, autonomy, is increasing to practical considerations about economy, social skills of practitioners, clinical situations of daily living, data privacy and possibilities for communication. Interdisciplinarity is a big topic in medical treatments, but very often there is a problem in execution. In paediatrics, especially in the field of neuroorthopeadics, one has to take special responsibility for patients becausechildren are a very vulnerable group and the mother-child-realtionship in these cases is a special challange in the context of proper medical treatment. The main aim of this study is to contribute to an optimisedcare situation for children with cerebral palsy, always keeping the childs autonomy in the focus of attention.Then,it wants to present practical model which helps to overcome the mentioned problems. It is very difficult to find the right balance between the appropriate amount of (paternalistic) care, protection ofthe childs autonomy-rights and necessary transparency with regard to decision options and it needs much empathy to handel questions of informed consent. Part of the study is also a steakholder analysis,a critical interpretation of medical science and a discourse ethics based model for optimising interdisciplinary communications in the name of an optimal treatment for children with cerebral palsy. Conclusion: The conclusion is based on the ability to build relationships among the participants, the practitionerssocial skills and the actual execution.