The importance of a Piagetian approach is recognized in South African early childhood educational practices and teacher training, but the reality of the implementation of teaching and learning in the domain of early years opposes his philosophy in many ways. Our Early Childhood Education policies strongly advocate a Piagetian approach such as the emphasis on cognitive development, play-based learning, placing the child at the centre of learning and recognizing the holistic child. However, South African schools are contextually challenged with a disconnect between teacher training, policy and practice.