Child sexual behavior problems are complex and have an impact on many levels. For the past thirty years, researchers have tried to identify the main risk factors associated with them. However, there is no precise definition of these behaviours and criteria to judge their problematic nature are variable. Many professionals claim lack of knowledge and training to respond appropriately. Based on the results of a meta-analysis and core researches in the field, this article aims to reflect on the characteristics of these children and intervention programs deemed effective to support this emerging practice.