In the clinic, we often see parents bringing their children to see voice disorders, and they are very anxious to find a way to make their children’s voices clear and loud immediately when they learn that their children are hoarse because of “vocal fold nodules”. Vocal fold nodules are the most common articulation disorder in school-aged children. School-age children, especially boys, are often extremely active, have poor self-control, and love to shout at the top of their lungs, all of which are predisposing factors. More than one million children in the United States have vocal cord nodules. The prevalence is two to three times higher in boys than in girls. The vocal fold nodules in children are now treated conservatively and not surgically because the vocal folds of children are not yet mature and the mucosal and submucosal lamina propria are very thin. The incidence of vocal cord nodules is relatively low in the prepubertal age group, and they have a tendency to disappear automatically after puberty. The main conservative treatment modalities we adopt are: vocal rest, nebulized inhalation and medication.