To find the effect of graded creative activities on pre-writing skills of children with learning disability. OBJECTIVES • To assess the pre- writing skills of children with learning disability. • To assess visual perception, motor coordination, and visuo motor integration skills in learning disability children. • To evaluate the effect of graded creative activities on pre- writing skills of children with learning disability. Methodology A total of 30 subjects were taken in this study. The subjects were selected from Occupational Therapy Foundation and Sri Sarvavidhya multi speciality therapy centre Erode. Samples were selected based on selection criteria of this study. All selected samples were assessed before and after intervention with Beery Visual Motor integration Scale and assessment of Reading-Writing Skills For Pre-Primary School Children. All 30 samples were selected through convenient sampling method then they were randomly assigned in to control and experimental group, each group have 15 samples. Experimental group under went 16 sessions of graded craft activities along with conventional occupational therap. Whereas control group received only conventional occupational therapy. Each session was 1 hour duration, 3 sessions in a week. Results Statistically significant is present (t-value of berry VMI, visual perception, motor coordination are 3.3003,2.1624,2.8014 respectively. “p”-values of berry VMI, visual perception, motor coordination are 0.0053,0.0484,0.0141 respectively) between pre and post test scores of experimental group. The mean value of pre and post test of experimental group are14.7 and 20.2 respectively and “t” value is 10.741 and “p” value is less than 0.0001, which shows the significant changes in prewriting skills of experimental group. Conclusion From the above results it is concluded that there is significant improvement on Visual motor integration and pre writing skills of learning disability children after graded creative activities.