Little is known about pain coping strategies in children with mild and moderate intellectual disabilities. Objectives: The aim of this study is to identify coping skills in clinical settings and the health-providers' role in children's coping behaviors. Method: Eighteen medical procedures were video recorded involving fourteen children aged from 8 to 23 years and with 8 years-old mean developmental age. Data were collected with the Pediatric Pain Coping Inventory-French version and the Child-Adult Medical Procedure Interaction Scale-Revised. Pain was rated with the Faces Pain Scale-R. Results: No coping strategies were found in children and adolescents with mild and moderate intellectual disabilities. Health-providers did not encourage any kind of coping behaviors. Nevertheless, they provided information about pain and the running of the event and gave the children an active role in the interview. Conclusions: Further studies are needed to see how this population could be supported by the use of coping to increase their abilities to deal with pain.