Though orthopedic surgery started out as a field dedicated to correcting deformities in children, innovation and development of medical devices in the subspecialty of pediatric orthopedics has lagged behind the specialties that primarily treat adult conditions. There has, however, been a shift in the twenty-first century, toward dedicated pediatric orthopedic implants rather than repurposing those used in adults. Whether it is in fracture care, spine or lower extremity deformity correction, or reconstruction following tumor resection, there is a strong need to optimize the surgical and non-surgical care of this patient population. Decreased financial and regulatory barriers will certainly help this process; however, all stakeholders should be involved in order to have the best outcomes and the greatest chance of success.