Even when their pain is obvious, children frequently receive no treatment, or inadequate treatment, for pain and painful procedures.1 Numerous studies have documented that children receive far fewer doses of analgesic medication than adults do for similar pain problems.2,3 Procedure-related pain (eg, intravenous catheter insertion, bone marrow aspiration, lumbar puncture, etc) requires special attention because it is among the most difficult types of pain to deal with, both by the patient who experiences it and the health care professionals who must inflict it.4,5 Unfortunately, the most frequent response of physicians and nurses to procedure-related pain is denial, which is made easy because children can be physically restrained, are not routinely asked if they are in pain, and are unable to withdraw consent to stop a procedure.