The evaluation of central auditory function in children and adults should be considered an integral part of everyday practice for audiologists, otolaryngologists and advanced practice providers. Many patients report audiology complaints, in particular hearing when ambient noise is present or the auditory signal is unclear. Many of these patients often demonstrate normal peripheral hearing sensitivity as reflected on the audiogram. While the audiogram is an important tool, it does not evaluate the auditory system in its entirety. This presentation will focus on pathophysiology of auditory processing, as well as the principals behind diagnosis of auditory processing disorders and subsequent (re)habilitation and management approaches in audiology and otolaryngology settings.