Child neglect is one of the serious child maltreatment but has been rarely documented in the hospital setting. The challenge of neglect traversing cultural understanding, ethnic and even countries. The focal points for this review article are to examine on these dilemmas and ensuring objectivity for our approach to such cases. As neglect is an act of omission to care and occurs when there is a failure to meet a child’s standard needs, the consideration has to be emphasized on the diagnosis and assessment based on the chronicity of these events, the intended or unintended intention and individualized factors which could contribute to the outcome of such episode. The complexity of child neglect warrants our attention to safeguarding children from repeated and unrecognized abuse especially in our own community.