To determine parental and physician preferences in the use of anxiolytic medications prior to performing laceration repair in children We administered a survey to the parents of children ages 6 months to 5 years of age, who presented to the emergency department (ED) with superficial lacerations that required single layer closure with sutures or staples from January 2018 to April 2019. They were asked to complete these surveys, both prior to and following laceration repair. This survey involved their preference of anxiolytic use, rationale, and demographic information. The service-rendering physicians were also surveyed following the performing the repair and regarding their preferences. No anxiolytic medication was administered to any of the study participants. All children received standard of care (irrigation, local anesthesia, and primary closure with sutures/staples). IRB approval was obtained prior to the commencement of this study Fifty-one parents/guardians completed this survey. Forty-three (84.3%) expressed the desire for anxiolytic medication to be administered prior to laceration repair. Twenty-eight (54.9%) parents/guardians expressed a preference for oral administration of medication and fourteen (27.4%) preferred intranasal route. All other routes (intramuscular, intravenous) accounted for less than 1% percent of the total responses. Of the fifty respondents that completed the pre- and post-procedure section of the survey, forty-four parents/guardians (88%) favored the use of anxiolytics, both prior to and after observing their child undergo the procedure. Three parent/guardians (0.06%) changed their minds, initially having doubts about anxiolytic use prior to the procedure. But they did become agreeable after the procedure was completed. Only one parent/guardian that felt anxiolytics should be given pre-procedure and indicated doubt after the procedure was performed. A McNemar-Bowker test was conducted on the results and it indicated no statistical significance (P= 0.625) to parents changing their minds pre- and post-procedure. Physicians surveyed preferred the use of an anxiolytic agent (84% of respondents). Forty-one physician responses indicated their preference for an intranasal route for anxiolytic delivery (80%), while only four (7.8%) preferred oral route. Parents strongly preferred an anxiolytic agent provided to their children; 90% (95% CI 82%- 99%). This was significantly different from our a-priori hypothesis of 75% (P= .006). Parent age, sex, ethnicity, highest education level, and employment status did not significantly contribute to parental preference. When compared parents’ responses with the physicians, approximately 85% of both parents and provider agreed on anxiolytic administration. In 15.2%, there was a disagreement (8.5+6.7%). However, there was no statistical significance. Most parents supported administration of anxiolytic agents to their children, if they required laceration repair. Providers should consider giving anxiolytic medication prior to laceration repair. If there is a reason to not give anxiolytic agent, the reasons should be discussed with the parents. Furthermore, physicians preferred the use of anxiolytic medications administered intranasally.