Communication is a fundamental element in the lives of all human beings, in the Corporación Síndrome de Down (Down Syndrome Corporation)  From early childhood, objectives are established aimed at strengthening communication skills, encouraging the expression of desires and needs, increasing vocabulary, and using grammatical structures that promote interaction in different environments. In early childhood, bimodal communication is a fundamental support for achieving these goals. Subsequently, the development of speech skills is sought using multiple strategies, and augmentative communication is also offered as an option for those children who require it.