Feeding clinic in a hospital? I've never even heard of such a thing. I think that is a bit of an overreaction, unless he is dangerously malnourished, which I doubt. Do you think he would prefer to eat with a spoon? My daughter will eat with a spoon just because she likes the control of doing it herself (even though she is heavily assisted by me). We started letting her play with the spoon to get interested in it, and one day she just decided she wanted to do it herself. If it's the textures that creep him out, I wonder if it would help to let him play with a tray of whipped cream, finger paints, etc., to get him used to getting dirty and gooey? It can't hurt to try. Have you tried putting a variety of colors and textures infront of him - like cheese, carrots bits, peas, kiwi, etc? The other thing to consider is the tone of the meal. Are you rushing? Does he sense your frustration? A relaxed atmosphere where you are enjoying food with him will help. I know that sounds dumb, but I used to work at a daycare where lunch was like an assembly line, and there were some kids that could handle it and gobble their food up and be on their way, and others just couldn't and they would get frustrated and end up not eating much. I remember that sick feeling I had in my stomach every time I had to feed one of the ones that didn't eat well, so I can imagine what that must feel like as a parent. I have heard that it is normal for them to go on hunger strikes from time to time. Maybe you should get a second opinion from another pediatrician. I'm still fixated on the whole feeding clinic thing..... Let us know how it turns out!