Many families first notice something is different when a baby with 11q22.2q22.3 microdeletion syndrome has low muscle tone, feels “floppy,” feeds slowly, or isn’t gaining weight as expected, and later shows delays in sitting, crawling, or talking. Doctors may first suspect it because of subtle facial features, short stature, or congenital findings such as heart differences, hearing issues, or vision problems, and a chromosome microarray test confirms the diagnosis. For many, the first signs of 11q22.2q22.3 microdeletion syndrome are developmental delays in infancy or early childhood, sometimes paired with seizures or learning challenges noticed once preschool starts.