The challenges of providing education for a heterogeneous student population (in respect of gender, poverty levels, language and learning aptitude and level) have been major issues in refining Bhutanese policy and practice. These challenges are noted in respect of children with 'special needs' in the "Bhutan Education Blueprint, 2014-24" (NSB/MoE/UNICEF, 2014), which indicated that 'government's initiatives to enhance educational access for children with special needs remains a formidable challenge for the education sector owing to the limited number of special schools, facilities, support services and capacity of the teachers' (p. 26). This literature review scopes some of the key issues implied by this current situation, using the existing literature on 'children with disabilities' CWD from both recognized academic sources as well as the so-called 'grey' literature. It points to an emerging recognition of both ongoing challenges and opportunities in Bhutan which parallel those in diverse international contexts.