For several years, therapies for children with different disabilities have focused on clinical processes that often cause discomfort and pain in patients. Hence, in current times, other aspects related to therapy are evaluated, which allow the necessary clinical process to be carried out but also favor children's moods andemotions. This work proposes a methodology based on Play therapy in children from 3 to 5 years old with Down syndrome. For this, qualitative research was carried out to identify the main difficulties that children present in the fine and gross motor areas with the Wheel of Child Development instrument to determine the necessary methods for the proposal. The main results show that play therapy, in addition to providing a moment of fun, relaxation, and enjoyment, allows the development of the child's skills.