Plummer, KKotzur, CFoster, Mandie2025-08-042025-08-042025-07-18Journal of Pediatric Nursing, ISSN: 0882-5963 (Print), Elsevier BV. doi: 10.1016/j.pedn.2025.05.0290882-5963http://hdl.handle.net/10292/19631Introduction “How much of what we do, or fail to do, now for children in pain will come to be seen as unwise, unacceptable, or unethical in another 40 years? (Eccleston et al., 2021, p.48)” Procedural holding, the physical restraint of children during medical procedures, remains a routine practice in pediatric care. Despite increasing recognition of children's rights and the principles of trauma-informed care, restraint is still commonly used to complete procedures perceived as essential. The time has come to question current norms and consider the legacy of our actions and ask ourselves as pediatric nurses is children's compliance with medical procedures sufficient justification for force? Or should we strive for care that preserves children's dignity, autonomy, and emotional safety? This editorial challenges the status quo of holding children for medical procedures and calls for a systemic shift toward trauma-informed, ethically grounded procedural care, supported by clear policies, leadership accountability, and the voices of children and families.© 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies. When publishing under the subscription model, an author can self-archive their accepted manuscript immediately and enable public access from their institution's repository after an embargo period. This journal has an embargo period of 12 months.1110 Nursing1114 Paediatrics and Reproductive MedicineNursing3213 Paediatrics4205 NursingJournal ArticleOpenAccess10.1016/j.pedn.2025.05.029