Chapter 11 of the Japanese Pediatric Guideline for the Treatment and Management of Asthma 2023 describes the various aspects, focusing on school and preschool life, exercise, vaccination, perioperative management, disaster, and comorbidities. If special consideration is required in school or preschool, the instruction table for school life management and cooperation with parents and school is referred for appropriate action. Exercise-induced bronchoconstriction (EIB) is a phenomenon in which wheezing and dyspnea occur temporarily during or after exercise. The stakeholders should properly understand EIB and cooperate to prevent EIB from school children. Vaccinations can be administered to children with asthma as well as to healthy children, with adequate care and attention. For general anesthesia or surgery, maintain good control and consider stepping up treatment or systemic corticosteroids as needed. Disaster preparedness is important on a daily basis, and there are pamphlets available on emergencies. In severe mental and physical disabilities, it is necessary to differentiate asthma from other diseases and to devise inhalation techniques. In neurodevelopmental disorders, it is desirable to devise treatment adapted to the characteristics of the child. In food allergy, it requires careful attention to asthma control status.