The aim and purpose of this paper is to point out the importance and numerous benefits of music therapy in working with children with special needs. It is well known that music comes from the time of the existence of the tribe and has developed and changed over the centuries as it changed its value and meaning in human life. Music therapy is defined as the professional use of music in treatment, rehabilitation, education and exercises in adults as well as in children with special needs. Along with the role of music therapists as experts in music therapy and their education, the paper presents the short historical development of music therapy in the world and the Republic of Croatia. Briefly named and described the special needs of children such as: autism, speech disorders (cracked palate, stuttering, aphasia, dysphasia, dysarthria), motor disorders (cerebral palsy, visual impairment, hearing loss, muscular dystrophy), acute and chronic illnesses hospitalization, mental illnesses, neurological diseases and giftedness, and described the way of performing music therapy for each of them. With the example given by the little girl N.R. which has an autistic spectrum disorder, also wants to point out the need to use music in the daily work of educators and teachers and its benefits in child development, especially as a stimulus for the development of child speech and motor, and the pleasure that children provide.