In this chapter, the authors use a policy and program perspective to explore the specific career development needs of gifted learners in Hong Kong. They first examine recent developments in gifted education and career education policies in Hong Kong, then draw on relevant literature to highlight salient career development needs of gifted learners. Next, consideration is given to possible priority content for career guidance programs for these students, and some existing programs are reviewed. The chapter ends with a summary of the implications for educators, counselors, researchers and policy-makers. Copyright © 2020 Springer Nature Singapore Pte Ltd.