Traumatic brain injury (TBI) is one of the most common causes of acquired disability during childhood. Most of the literature to date has used standardized tests to explore the impact of TBI on children's cognitive skills, with little exploration of children's higher level functional skills, especially in the language/communication domain. Difficulties in these areas are likely to contribute to persisting social and academic difficulties often associated with TBI. The aim of the present study was to explore the impact of TBI on children's pragmatic communication skills, their ability to effectively use language in a social context.