This study aims to find out how the image of self-acceptance on BatakToba parents who have children with severe autism in Medan. This study was conducted on two families of Batak Toba tribe who have the first son of men and crave heavy autism. The sampling technique used purposive and snowballing sampling. The number of informants consists of 2 (two) families who have the first son of men, autistic people and Batak Toba tribe. The research method used is qualitative research method descriptive approach. Techniques of collecting data using interviews, observation and documentation. Analysis of data used is the analysis at the initial level, at the time of data collection and after completion of data collection. The result of this research is in the first family, when knowing that the first child is autistic, the father of the child does not accept the reality so that the feeling of anger, disappointment, embarrassment with the social community (family name community) and feel unsuccessful in building a household ideal. In this family also often occur quarrel between husband and wife. Husband assumes that the wife cannot keep her pregnancy during childbearing process, so feelings of guilt also arise on the wife. This happened for 5 years. In the next development the father begins to accept that his son is an autistic person, caused by the social support of the family and those skilled in the child with special needs. What strengthens families is that autistic children can also be self-sufficient, successful and equal to children in general.It's the same with the second family that this family feels a huge disappointment. This disappointment arises because for this second family, the first son of a boy is the child who will take their clan and give offspring to them. The family is more concerned that the kinship world (patriarchal system) becomes a force for them. Shyness often keeps them from attending family events and even hiding children into rooms when other families come to visit. This happens for 7 years when doctors declare their child is a severe autistic person.The next stage is the stage where the family has received their status as an autistic family. This stage occurs when the family opens up to see that many children are equal to their children but have achievements in the art. The family also often attends seminars from parents with autism, which ultimately leads to the stage of self-acceptance has deficiencies and advantages in the family. Religious support from relatives also contributes to this second family.