Complications from cerebrospinal fluid shunts are common and can present with a variety of signs and symptoms. In this second part of a two-part review, shunt overdrainage, loculation of the ventricular system in patients with shunts, and abdominal complications related to ventriculoperitoneal shunts are discussed. Familiarity with these types of shunt failure is essential for neurologists and pediatricians because they are often the first to evaluate and triage these children.