The purpose of this study was to investigate the curriculum implementation and teaching practice of gifted education programs in elementary and secondary schools in Taiwan. By means of both the inventory survey and the interview, data were gathered from school administration staff and teachers of gifted education interview, data were gathered from school administration staff and teachers of gifted education programs. The results showed: (1)The content of the gifted curriculum involved three areas-subject knowledge, cognitive skills, and social-emotional development. The subject knowledge area was more emphasized. (2)The teaching skills and activities used frequently in gifted programs were brainstorming, questioning skills, small group discussion, creative problem-solving, and independent study. (3)In terms of the curriculum adaptation, the gifted program in elementary schools were more appropriately implemented than those in secondary schools. (4)The main curriculum implementation problems were the pressure of the joint Entrance Examination, heavy work load to prepare teaching materials, and the lack of a curriculum frame and guideline.