The Royal Colleges in the United Kingdom have a unique history of assessing the postgraduate medical trainee in a fair and rigorous manner. The RCPCH continues to provide a robust and scrupulously fair system of postgraduate assessment in paediatrics that leads in the end to a hallmark of quality for the candidate who successfully qualifies for his MRCPCH. Obtaining the MRCPCH is an important landmark in the career trajectory of many paediatricians. MRCPCH is essentially an examination for the paediatric trainees in UK. However, over the years it has become one of the most prestigious paediatric examinations with high international reputation. There has been a need for systematic step-by-step guidance for postgraduate trainees in paediatrics aspiring for the MRCPCH. There is also a need for this guidance to be carefully tailored to the needs of postgraduate trainees in paediatrics.