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Using Gesture To Identify and Address Early Concerns About Language and Pragmatics. Speakers and signers naturally and spontaneously gesture when they use language to communicate. These gestures not only play a central role in how language is used in social situations but also offer insight into speakers' and signers' cognitive processes. The goals of this article are twofold: (1) to document how gesture can be used to identify concerns in language development and (2) to illustrate how gesture can be used to address those concerns, particularly with respect to pragmatic development. These goals are explored in this article, with a focus on deaf and/or hard of hearing (DHH) children. Medical providers and allied health professionals, as well as educators and parents, can use the information gleaned from the gestures of DHH children to determine if intervention is needed. Gesture can also be used to design interventions, including interventions in which children who are DHH are presented gestures in combination with speech or signs and interventions in which they are encouraged to gesture themselves. Children's gestures not only increase their learning potential but also create opportunities for medical and health professionals, as well as educators and parents, to gain access to a DHH child's unspoken and unsigned ideas, capitalizing on the opportunity to provide intervention when it is likely to be effective.