The Brazilian Consensus on the Management of Pompe Disease was established through collaboration of all Brazilian physicians known to be treating patients with Pompe disease (PD) in Brazil. It was based on the clinical presentation of 7 cases of early-onset PD (EOPD) and 18 cases of late-onset PD (LOPD) presented to a working group in the city of Rio de Janeiro in 2007. Coordinated by the Brazilian Network for Studies in PD (ReBrPOM) with key objectives of enhancing understanding of the clinical heterogeneity, progression, and natural history of this severe and lethal genetic disease, as well as providing an overview of the Brazilian experience with enzyme replacement therapy with recombinant human acid alpha glucosidase (rhGAA; Myozyme; Genzyme, Cambridge, Massachusetts). This is not an exhaustive investigation of the issue, but rather preliminary guidelines to optimize the management of these patients under the care of the Brazilian public health care system (SUS-Brasil).