STUDY DESIGN: To review the causes and consequences of device removal in 18 years of pediatric orthopedic spine cases. OBJECTIVE: To investigate the indications for removal of implanted devices in pediatric scoliosis. METHODS: Cases in which implants were removed were classified, and the need for removal and the possibility of preventing removal were analyzed. RESULTS: Implant fracture, deep incisional delayed infection, postoperative deformity recurrence, and intraoperative and postoperative spinal cord dysfunction mostly belonged to the need for temporary implant removal and planned postponement of recontouring. Conclusion: Removal of the implant can be avoided. Removal of the implant solely at the request of the parents and the child is prudent and can be classified as a relative contraindication.