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Background Children and young people with cerebral palsy (CYPwCP) often require a combination of surgical and non-surgical interventions to maintain or improve mobility, function, and participation in daily life, particularly during periods of rapid growth and development. This study reports gait outcome priorities identified by CYPwCP 3-10 years after selective dorsal rhizotomy (SDR) surgery to permanently reduce lower limb spasticity.Methods CYPwCP who underwent SDR at Great Ormond Street Hospital were invited to complete the Gait Outcome Assessment List (GOAL) questionnaire. It includes items across seven domains including Activities of daily living and independence, Gait function and mobility, Physical activities, sports and recreation, Pain, discomfort and fatigue and Gait-related priorities. Lower scores indicate increased difficulty. Items rated as ‘difficult or extremely difficult’ which were considered ‘very important’ to improve were categorised by Gross Motor Functional Classification System (GMFCS) level.Results 75 CYPwCP completed the questionnaire. Their mean age was 13 years, 6 months (range: 8-19 years); 52 were male. GMFCS levels were II (n=28) and III (n=47). The lowest mean (SD) score was in the ‘Physical activities, sports and recreation’ domain 41.53%, SD 20.23%), while the highest was in ‘activities of daily living and independence (73.55%, SD21.45%). The most frequently prioritised goals for improvement were within the ‘Gait pattern and appearance’ domain. The top five goals rated as both very important to improve and difficult were: ‘walking taller and more upright’, ‘walking without tripping or falling’, ‘walking with feet flat on the ground’, ‘walking without dragging feet’ and ‘feeling tired while walking’.Conclusion These findings highlight the ongoing gait concerns and priorities of CYPwCP 3-10 years after SDR. Incorporating their perspectives into clinical decision-making can support more personalised care.Further qualitative research could deepen understanding of the long-term mobility, functional, and participation priorities of CYPwCP in community settings.Acknowledgements for Funding or Support DC is funded by the NIHR Doctoral Clinical Academic Research Fellowship (NIHR 302916) Health Education England (HEE)/NIHR for this research project. HG is funded by a National Institute for Health and Care Research Advanced Fellowship (NIHR 303636) Health Education England/National Institute for Health and Care Research. The views expressed in this publication are those of the authors and not necessarily those of the NIHR, NHS or the UK Department of Health and Social Care.