A response to pornography and its harms to girls in particular should be primarily formulated within the context of a broad-based approach addressing different forms of violence against women and girls (VAWG). Working with the understanding of violence set out in the UN Declaration on the Elimination of Violence Against Women, this chapter provides an analysis of how pornography works, what it does, and how it is used, particularly in regard to children. The main trends in access to and consumption of pornography by children, and its impact on their lives, are examined through a selection of case studies drawn from prosecutions of children on pornography-related charges. Analysis of these cases does document individual behaviour but also displays collective patterns of production, circulation, access and use of pornography. The cases also direct attention to gendered patterns of violence and cruelty against girls and women, the significance of which escapes a “public health” framework in understanding pornography. My conclusion is that an important advantage of a comprehensive VAWG approach to pornography is that it offers a way to change the public discussion of pornography through greater receptiveness to the voices and experience of girls, rather than to a porn aesthetic of violence and cruelty as “cool”.