Nepal is one of the poorest countries in the world and almost half the children in the country suffer from malnutrition. Awareness and knowledge about autism are almost nonexistent. A small study showed that the mean age of first symptom recognition in Nepal is around 30 months of age. After recognition, there is a delay of about 30 months before diagnosis, with the mean age of diagnosis occurring at around 56 months. Services for children with autism are very minimal due to an acute shortage of trained professionals in the field. There is a dire need for government support of stronger advocacy and more awareness and support programs, as well as special education and rehabilitation programs.