Children with handwriting difficulties who struggle with forming letters often make mistakes that can hinder the legibility of their writing. Some children face challenges with their handwriting that impede their academic achievement. Objectives: this study was to conducted to examine the impact of sensory motor training on visual perceptual skills in children with handwriting difficulties. Subjects and Methods: Forty elementary school children with dysgraphia recruited in this study, aged from seven to ten years old. All of the children had been diagnosed with visual perceptual motor skills deficit, based on test of visual perceptual skills (TVPS) - 4th edition. These children were randomized into two groups (control as well as study groups). Control group (A) was received repetitive hand writing (occupational therapy) practice, whereas the study group (B) received repetitive hand writing practice in addition to multisensory intervention. Pre and post treatment program the children were examined for visual perceptual skills by TVPS-4. This study was conducted for almost 24 weeks. Results: The results showed that post treatment, there was a statistical significant difference between groups (P < 0.05). also, there were significant difference among the two groups favoring group (B) (P < 0.05). Conclusion: Multisensory motor training may had a great impact on improving visual perceptual skills in children with handwriting difficulties.