The itinerant service is different from other types of special education classes . It is necessary to discuss how to balance the learning needs and teaching between students with special needs and the itinerant tutors in the limited time and space, and achieve the best teaching efficiency. This article first discusses the itinerant tutoring system of domestic elementary schools, continues to analyze the difficulties of itinerant tutoring work from relevant domestic and foreign literature, and proposes the trend of itinerant tutors' service from the current system and the teaching site of special education work. Counseling dilemma, put forward suggestions for itinerant services in elementary schools on the administrative and teaching levels.