Objectives: investigate the response of functional performance to Hippotherapy in children with spastic cerebral palsy. Methods: Twenty six children with spastic cerebral palsy (17 boys and 9 girls) participated in this study. Their age ranged from 5-10 years and their BMI less than 25. The twenty six children were assigned to two groups; (A) and (B) each group consisted of 13 children. Group A received Hippotherapy program (HT) in addition to traditional physical therapy program and group B received same traditional physical therapy program without any additional program. The pediatric evaluation of disability scale (PEDI) was measured before and after the 10-week intervention.