Seeing a child walk for the first time can be one of life’s great joys. Supporting a child in a lifetime of healthy movement can be even better. Clinicians who work to support and control the pediatric foot and ankle face an array of challenges on their way to getting and keeping kids on their feet, including a daunting range of device choices, both off-the-shelf and custom. However, choosing and developing the right device is just one step in the process. Working with children can mean exercising skills usually classed under child psychology, business networking, and even entertainment.