This publication aims, in plain English, to identify the main issues affecting individuals with Down Syndrome who develop Dementia. It is an awareness raising book aimed at stimulating discussions that will hopefully encourage the reader to find out more, using the websites provided. It takes the form of questions and answers. All the questions raised are actual questions raised many times in training courses run by the author. Since qualifying as a nurse in the1970's the author has over 40 years experience of working in Health and Social care environments, specialising in working with people with learning disabilities and/or mental health conditions. He has been involved in research work and training staff, students and family members in the field of Down Syndrome and Dementia for over 33 years with the last 20 years as a freelance training consultant. He has also worked with some of the most respected leaders in this area including, Emeritus Professor Tony Holland and Diana Kerr. This book is the first in the series sharing his knowledge and experiences as his legacy after a long career as he approaches retirement.