PURPOSE OF REVIEW: To outline the current advances in food allergy. RECENT FINDINGS: Food allergies have been increasing in prevalence and significantly affect the quality of life of both patients and their families. Over the past decades, there have been major changes to the recommendations for prevention and management of food allergies. These include timely introduction, various forms of immunotherapy, biologics, and epinephrine administration. SUMMARY: As the effectiveness of many of these therapies are optimized in childhood, it is critical to be aware options are available. Shared decision-making is essential in navigating the current landscape of food allergy management.