At the American Academy of Neurology Winter Conference held in January of this year, 2008, the question of what TS (Tourette's Syndrome) really represents was presented by Dr. Harvey Singer, Neurologist, John Hopkins School of Medicine. Typically TS is defined as a disorder involving tics (motor and phonic) as the primary symptom that wax and wanes (increased by stress and decreased by relaxation). One to ten per thousand children are diagnosed with TS, showing variable outcomes, with a greater propensity to hit the male population. TS is typically associated with an assortment of co-morbid or co-associated disorders, most often ADD/ADHD. What was novel about Dr. Singer's presentation was his connection of TS to the frontal lobe. Using neuropsychological evaluation my experience is that childen and adolescents diagnosed with TS can present a picture of cognitive deficits involving the frontal processes (hence the over-diagnosis with ADHD). For the parent and treating professional it is important to rule out cognitive deficits that may have a profound effect upon academic studies and learning using neuropsycholo gical evaluation.