Data were collected from heads of households across Bhutan, using a Knowledge, Attitudes and Practices method to gain insights regarding children with disabilities up to 18 years in Bhutan. Fieldwork was conducted by local enumerators, trained by researchers from the UK who undertook the analysis and interpretation of the data. Results indicate that whilst there are largely positive attitudes towards children with disabilities in Bhutan, the majority of respondents conceptualised disability narrowly and were pessimistic about such children’s ability to lead full lives. Households including children with disabilities were less positive than others concerning the ways in which children are regarded and supported in their communities. Fatalistic views related to beliefs in karma were seen to persist and influenced expectations regarding what children with disabilities might achieve. More positive attitudes are held by younger people and those who are more highly educated. Attitudes and expectations have had a negative effect in restricting access to educational and social inclusion for many children with disabilities.