The purpose of this study was to describe the extent to which occupational therapists observed and treated pain in children and adolescents and their current awareness, understanding of, and satisfaction with assessment and treatment of pain. Data from 129 of 200 ( 64.5%) pediatric occupational therapist who responded to a 22-item questionnaire were analyzed. Results indicated that respondents ( a) seldom to sometimes suspected the present of pain with specific age groups they have treated, ( b) sometimes to often reported suspecting pain when asked about a specific disability, ( c) primarily used covey (verbal reports of pain) measures to detect pain, ( d) were unfamiliar with pediatric pain assessment tools, ( e) seldom addressed pain during treatment, ( f) demonstrated a moderate level of awareness of issues related to pain in children, ( g) perceived that their entry-level education on pediatric pain was not adequate, and ( h) were not satisfied with their current knowledge of pediatric pain. These results suggest a need and desire for education of occupational therapist about pain in children.