There are a number of methods that can be used to toilet train. Two of the more common are child-centered and parent-centered.

The child-oriented approach is the most widely accepted process and is recommended by the American Academy of Pediatrics (AAP). This approach emphasizes that a child be physically, mentally and emotionally ready before beginning toilet training. The child must have the physical abilities required for toilet training, such as bladder and bowel control and the ability to walk to the bathroom, undress, sit on the toilet, and dress. The child must be able to understand and follow instructions. Finally, the child must have the self-esteem, independence and motivation to learn, including the desire to please, imitate and identify with parents and caregivers.

The parent-oriented approach is a parent- or caregiver-based process. This approach focuses more heavily on bladder training, although similar techniques have been successful in bowel training, as well. It teaches the child to distinguish the signals for the need to urinate using increased fluid intake, regularly scheduled toilet time, positive reinforcement for using the toilet and punishment for accidents.