In 2009, The U.S. Conference of Mayors invited mayors to describe the programs or initiatives that have demonstrated effectiveness in combating childhood hunger in their cities – the best practices that could guide other mayors in selecting or developing approaches to lowering a level of childhood hunger. This report illustrates the wide variety of approaches being taken in 24 cities of all sizes in all regions of the country. The 41 initiatives described range from mayors’ efforts to organize anti-hunger efforts city-wide, to examples of how cities are making national programs fit their unique local situations, to examples of how individual institutions, such as schools and hospitals, are creating innovative solutions to their cities’ childhood hunger problems. Cities in the survey include: Allentown-PA, Baltimore- MD, Boston-MA, Charleston-SC, Chicago-IL, Columbus-OH, Dallas-TX, Dubuque-IA, Evansville-IN, Honolulu-HI, Lansing-MI, Lauderdale Lakes-FL, Louisville-KY, New Haven-CT, Oklahoma City-OK, Philadelphia-PA, Pocatello-ID, Richmond-VA, San Francisco-CA, Santa Barbara-CA, Santa Fe-NM, Seattle-WA, Spokane-WA, Stockton-CA.