As we enter June, the temperature is getting warmer every day, the summer heat is near, and another high season of childhood trauma is approaching. Injuries are something that parents don’t want to happen to their children, but sometimes they have to face it helplessly. After a child’s fracture, “Should I operate?” This is a major concern for many parents. Should a child have surgery for a fracture? Of course, this is not a generalization, but the general trend and principle of fracture treatment in children in recent years is clear: “minimally invasive”. Does “minimally invasive” mean that surgery is not necessary? I don’t think so. I don’t think the traction treatment of femoral stem fractures in older children can be considered “minimally invasive”, because the child has to suffer a lot from prolonged bed traction, and the parents have to suffer from a lot of complications. It is not minimally invasive. The prevailing treatment method is closed reduction and flexible intramedullary pin fixation (3-10 years old), which requires only two small incisions to put in the intramedullary pin fixation, unlike adult fracture plate fixation, which requires a large incision, muscle and periosteum incision, which is more traumatic, and unlike the previous traction treatment, which requires long-term bed rest and cannot achieve anatomical repositioning. Nowadays, many children’s fractures can be closed and repositioned, percutaneous or small incision internal fixation, which avoids the problems of conservative treatment, plaster and splint fixation with many complications, as well as the secondary trauma of extensive incision and repositioning, and is the standard treatment for children’s fractures such as supracondylar humerus fractures and long diaphysis. Of course, some fractures in special areas are not suitable for closed reduction and require incisional reduction because of the high requirements for reduction and the influence on future function and bone growth, such as epiphyseal fractures, intra-articular fractures and fractures of the diaphysis that are unsuccessfully repaired by manipulation, and incisional reduction is preferred. In addition, children are growing and developing, and their bones have unique anatomical and physiological characteristics, so children’s fractures are different from adult fractures, and the conventional methods for treating adult fractures cannot be applied to children’s fractures. It is recommended that children’s fractures be treated at a specialized pediatric orthopedic clinic.