Students with Down syndrome can be successfully included in neighbourhood primary school setting if they are given regular and timely support as needed. This means that peers, coordinators, principals, specialist staff, and the parents all should be involved to ensure the best start for students with Down syndrome. In addition, empathy is needed between the teacher and teacher aide to be able to work together effectively and team teaching settings can help further where the opportunity to share thoughts, ideas and work-load is more readily accessible. Support and understanding from the leadership of the school is also crucial.