We have started “Child Headache Outpatient Clinic” at the Hospital of Kyoto Prefectural University of Medicine since April 2010. After the 2 years of opening of the clinic, new headache patient were 44. This means 0.92 new patient per one clinic, 25 new patients were referral from other hospitals. 20 (45.5%) were males and the others (54.5%) were females, mean age was 11.8 ± 3.1 ranging from 4 to 17.3 years of age. Final diagnoses based on ICHD-II were 33 migraines (75%) in which 14 with aura. In migraineurs, there were 12 with positive family history , of this 9 whose mothers have migraine. There were 8 with orthostatic dysregulation (OD), of this 7 were associated with migraine. We have 6 patients with psychosomatic headache, of this 5 were associated with migraine. Brain MRI were done for 31 patients, and we have found 4 secondary headache patients, including 3 with decrease of cerebrospinal fluid, 1 with moya moya disease. The treatment options were 29 prophylaxis using Ca blockers, anti depressants, Valproate, and Propranolol. Analgesics and triptans were adequately and successfully used.