Yes, holding his head up is a requirement for being able to stand and push the walker around. My son was unusual, I guess, because he was holding his head up when he was born. I had an emergency C-section and, before I even knew if it was a boy or a girl, the Surgeon and Nurse said, "He's holding his head up!" and "He's looking around!" .."So, it's a boy?" was my comment from behind the screen.