Describing the current status of the "school for the physically disabled" and the developmental tendencies observable in this type of school, the author in particular contrasts recently evolved practice with the existing legislative and administrative orientations. It is found that on account of demographic and socio-medical developments and pressures, actual practice has gone far beyond the administrative framework, entailing a need to catch up in terms of conceptual thinking and administrative provision. This need to catch up essentially pertains to conceptual integration of the consequences that arise from the inclusion of students with increasingly severe disablement, to questions of occupational outlook for physically handicapped students with learning disabilities, adequate conclusions as regards creating a flexible organizational structure in the individual school, as well as the problems involved in statutory provision relative to the necessary paramedical services and the linkages between therapy and education, also in terms of cooperation between school and public health services.