Providing orthopaedic care for children is most likely the greatest responsibility an orthopaedic resident will face during residency. As growing individuals, children’s bones are much softer and pliable than bones in adults and therefore they break and heal differently, requiring different treatment. If the break includes the physis, which is unique to children, it must be treated in a way that will avoid growth problems. If not treated early or correctly, fractures or deformities, either congenital or mechanical, can result in significant disability in adulthood. Although this rotation may seem daunting at first, treating children is extremely fulfilling. This article shares some practical tips for surviving your first night on pediatric orthopaedic call.