The relevance and challenges of clinical supervision for effective teaching and learning in Elementary schools with special needs exploring through descriptive survey research. We collected data using twenty questionnaire items from 429 respondents consisting of principals and teachers and analyzed them using t-test statistics. The research findings reveal several relevancies of clinical supervision in teaching and learning: improving teacher classroom behavior and supporting students' clinical learning. Clinical management has challenges, including disagreements on collaboration between teachers and principals, lack of trained supervisors, inadequate supervisors in various areas of specialization, and time constraints. Based on these findings, this study recommends that the Management Board of elementary schools with special needs requires clinical supervision at least once a month.