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Growing up · 18 months to 5 years

Out of nappies: when is my child ready, and what helps?

8 min read8 sources · accessed on 26 September 2026

The short answer

There's no fixed age. ERIC, the UK's children's bowel and bladder charity, looks at signs of readiness: staying dry for about two hours, noticing a wee or a poo, being willing to cooperate.1 Poos often come under control before wees, and nights come much later: bedwetting still affects about 1 in 15 seven-year-olds, runs in families and is nobody's fault.2 And starting early rarely shortens the path: an early start tends to go with training that takes longer.6
The basics

When a child is physically able

The most honest answer to “when should we start?”: not before your child is able to. ERIC puts signs in the child before any age.1 What lands in the potty earlier is often chance, or good timing by the parents.

After that, a lot depends on the child. Everyone goes at their own pace. In many children, poos go in the potty a little before wees.

Nights are a separate project, with no direct link to practising during the day. They depend on the body maturing. Bedwetting is common well into primary school, affects about 1 in 15 seven-year-olds, runs in families and is nobody's fault; from the age of five, treatment is possible under the NICE guideline.2 The American Academy of Pediatrics names three common causes of bedwetting, none of them a parenting mistake.8

And the famous signs of readiness? A review found 21 different signs in the literature, with no agreement on which matter or how many. Depending on which sign you treat as decisive, the ideal time to start shifts a lot. On average, 15 of the 21 signs are present at 30 months.3 In practice: no list replaces watching your own child.

What helps

What really helps day to day

1. Let the potty settle in before it gets a job. It's there, they can sit on it with trousers on, nothing happens. Something already familiar meets less resistance later.

2. Suggest rather than ask. “Let's go for a moment” works better than “do you need to go?”: in the middle of a game, the answer to the second is always no. Fixed moments (on waking, before going out, after meals) are easier than random ones.

3. Clothes your child can pull down alone. An elastic waist decides success or accident more often than any parenting attitude.

4. Accidents, without comment. Change, carry on, no lecture. Every reaction, even disappointment, makes the potty a place where you can get it wrong.

5. Praise what your child did. “You felt it and you went” is something they can repeat. “There's something in there” isn't up to them, and the next time the potty is empty they'll feel they failed.

6. Keep an eye on poos. It's the most important point and the most often forgotten: hard poos hurt, and what hurts, a child holds in. Holding in leads to constipation, and a constipated child avoids the potty. If that's happening, talk to your GP early.

Best avoided

What's better left out

Starting under pressure of a date. A change of nursery, the holidays, a visiting grandparent: poor signals to start. There are signs that an early start tends to make training longer.6

Long sessions. A few minutes are enough. Keeping a child sitting until something comes builds resistance in exactly that spot.

Reward systems that turn into pressure. A sticker in passing is no problem. A chart that shows this week went worse than last puts a child under pressure.

Forcing the nights. Taking the nappy off at night because days are going well confuses two different kinds of maturing.

Treating setbacks as going backwards. After a new brother or sister arrives, when starting nursery, in the middle of a move, children start wetting again. The ability is still there, it's just busy elsewhere. It passes if it isn't made into a big deal.

Debates

Where the experts disagree

On few topics do guides contradict each other so clearly, and nowhere are the studies so thin. Three approaches you'll find in every parent forum:

ApproachWhat it saysWhat it means for the story
Child-ledBrazelton (1962)Wait until the child is ready and let them lead. No fixed starting age, no timetable.The story doesn't rush: the potty is an object first, then an invitation.
StructuredAzrin and Foxx (1974) and their successorsIntensive training led by parents over a short period, with clear steps and encouragement.The routine is told as a fixed sequence of six steps you can repeat and find again.
Nappy-freeelimination communicationRead a baby's signals from early on and hold them over the potty, instead of training later.Hard to tell in a picture book: it's about signals from before language, more than an action you can narrate.

What everyone agrees on

  • Children come out of nappies at their own pace; signs matter more than a birthday.
  • Pressure, punishment and shame make the path longer, not shorter.
  • Accidents are part of the path, not setbacks.
  • Constipation is the underestimated risk factor, more important than any method.
  • Nights are a separate kind of maturing, not a training goal.

The point of debate is when to start. A US evidence report compared the two established methods and reached an uncomfortable conclusion: both child-led and structured approaches work in healthy children; direct comparisons are missing, and neither has been shown to be better.5

Against an early start, an observational study is often cited that found, in children trained before two, about a 3.4 times higher risk of daytime wetting later, and more constipation.7 It needs placing: it involved 112 children, it shows a link and not a cause, and a medical review finds the evidence on starting age limited overall.6 The child-led approach goes back to Brazelton in 19624, structured training to Azrin and Foxx.5

So we recommend no method. Our stories rest only on what all three approaches agree on, and the most important of those points is how to react to an accident.

When a book isn't enough

Talk to your GP or paediatrician if your child holds in their poo, has hard or painful poos, or only goes every few days: it's a common reason things get stuck. The same goes for pain when weeing, blood, an unusual smell or constant dribbling.

And also if your child, long after starting, still can't stay dry during the day; if they start wetting again for weeks after months of being dry; or if wet nights are still regular after five, when treatment becomes possible.2 It isn't something to get through alone for years.

The story

How a story can help

For coming out of nappies, a story has a different task than for anger or arguments: there's no opponent. There's a routine that needs to become familiar, and an accident that needs to lose its fright. Both of those can be read.

There's a practical bonus too: the potty is already the place where children sit and look at a book. A book in which the child does exactly what they're learning mostly keeps them company.

The child is never the problem. The story tells of a new ability, and the nappy going is just the result.

  1. 1-2

    The hero's world

    The child as they are, with their favourite things. The nappy is still naturally part of it.

  2. 3

    Something catches their eye

    Grown-ups sometimes disappear behind a door for a moment. What are they doing in there?

  3. 4

    The potty arrives

    As an object, with no job. You can sit on it with trousers on. Nothing has to happen.

  4. 5

    The feeling gets a name

    The pressure in the tummy, the little wave: named, so it can be announced.

  5. 6

    The first try

    Nothing comes. And that's fine: nobody is disappointed.

  6. 7

    The six steps

    Someone shows the routine: feel it, say it, go, trousers down, sit, wait.

  7. 8

    It works

    A little joy, not fireworks. Going gets the praise, whatever the result.

  8. 9

    The accident

    It doesn't work. No comment, no shame: trousers can be changed. The most important page in the book.

  9. 10

    Going back

    No grudge, no lecture. The place stays safe.

  10. 11

    Somewhere else

    Unfamiliar toilets, a trip, the park. Being able means being able where it isn't usual.

  11. 12

    At night, the nappy stays

    That isn't a step back, and the story says so clearly.

  12. 13

    The event becomes a habit

    One day nobody talks about it any more. That's exactly the aim.

  13. 14

    The end

    The child can do something they couldn't before. The nappy goes, the child stays the same.

The potty story, with your child's name

Describe your child in a few words, and the story follows exactly this path, accident included, in the illustration style you choose. You read all of it for free before you decide.

Read the story for free
Questions

Frequently asked questions

At what age should we start with the potty?

There's no fixed age. ERIC names signs of readiness instead: staying dry for about two hours, noticing a wee or a poo, being willing to cooperate. There are also signs that starting very early tends to make the whole thing take longer.

My child was dry and is wetting again. Is that going backwards?

Usually not. After a new brother or sister, starting nursery, a move or an illness, many children start wetting again: the ability is still there, it's just busy elsewhere. It usually passes on its own if it isn't made into a big deal. If it goes on for weeks or there's pain, talk to your GP.

Do stickers and reward charts help?

A sticker in passing does no harm. A chart that shows this week went worse than last creates pressure exactly where pressure doesn't work. If you praise, praise what your child can control: that they felt the need and went, whatever is in the potty.

When will my child be dry at night?

Much later than during the day. Practice doesn't change it, because it depends on the body maturing. Bedwetting still affects about 1 in 15 seven-year-olds, runs in families and is nobody's fault, according to ERIC; from five, treatment is possible. Taking the nappy off at night because days go well achieves nothing.

My child holds in their poo. What's behind it?

Often a painful experience: hard poos hurt, the child holds on, and the poo gets harder still. The cycle can be treated, and patience alone isn't always enough. Talk to your GP or paediatrician.

References

Sources

  1. 1.ERIC, The Children's Bowel & Bladder Charity: Guide to potty training.What it confirms: Signs of readiness instead of a fixed age: dry for about two hours, aware of bladder and bowel, willing to cooperate.
  2. 2.ERIC: Advice for children with night-time wetting.What it confirms: Bedwetting affects 1 in 15 seven-year-olds, runs in families and is nobody's fault; treatment possible from five under the NICE guideline.
  3. 3.Kaerts, N. et al. (2012): Readiness signs used to define the proper moment to start toilet training. Neurourology and Urodynamics 31(4).What it confirms: 21 readiness signs in the literature, with no agreement on which matter; on average 15 of 21 present at 30 months.
  4. 4.Brazelton, T. B. (1962): A Child-Oriented Approach to Toilet Training. Pediatrics 29; cited from the review “Toilet Training”, American Family Physician (2008).What it confirms: The child-led approach: wait until the child is ready and let them lead.
  5. 5.AHRQ Evidence Report: The Effectiveness of Different Methods of Toilet Training for Bowel and Bladder Control, with Foxx and Azrin's rapid training (1973/1974).What it confirms: Structured, intensive parent-led training; both methods work in healthy children, direct comparisons are missing, neither shown to be better.
  6. 6.Toilet Training: Common Questions and Answers. American Family Physician (2019), and the earlier review of 2008.What it confirms: Starting between 18 and 26 months goes with longer training, and the evidence on starting age is limited overall.
  7. 7.Krane, S., Gorbachinsky, I., Richards, K. and Hodges, S. (2014): Research and Reports in Urology; summary by Wake Forest Baptist.What it confirms: Observational study of 112 children: starting before two linked to a 3.4 times higher risk of daytime wetting and more constipation. A link, not a cause.
  8. 8.American Academy of Pediatrics, HealthyChildren.org: Bedwetting.What it confirms: Bedwetting mostly has three common causes, none of them a parenting mistake.

Sources accessed on 26 September 2026. Is something missing or out of date? Write to us and we'll correct it, with the date.

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