Cochlear implant surgery is aimed at making a comprehensive packet of information for the deaf by mixing the data acquired by implanted device and the communicational grammar. Although language production and ability of communication are not main factors in determining the candidacy for cochlear implant surgery, they play crucial role in determining cochlear implant success. we should study the communication skills much deeper than a simple perception and production of speech to have a reasonable evaluation of  development of Auditory integration and grammatical language structure. Hence in the current article we will first discuss the grammatical structure  in  language and then have a look at the pragmatics , semantics  and phonological aspects in children with cochlear implant in Virginia college in USA.