Initial management of the patient presenting with Scheuermann's kyphosis includes documentation and assessment of the degree of deformity and/or pain, as well as an overall picture of the negative impact of the deformity on the patient's life. The treatment of Scheuermann’s disease is based on the severity of the deformity, location of the deformity, presence of pain, and age of the patient, including non operative and operative methods. Non-operative treatment is classically indicated during the growth period if thoracic kyphosis exceeds 40˚- 45˚only in patients with mobile kyphotic deformity and with a sufficient amount of growth remaining. Up to one year of remaining growth is usually what is accepted as adequate to start the non operative treatment. There is controversy about the indications for surgical treatment because of limited evidence on the natural history of the condition regarding to pain, level of function or disability, self-esteem and deterioration of the kyphosis for treated and untreated patients. As well as the natural history of the disease is benign in most cases