This chapter provides a brief overview of paediatric procedural pain, highlighting some of the negative repercussions of untreated pain. The behavioural approach of distraction is covered in depth, starting with the theoretical underpinnings of this pain management intervention and then summarizing the distraction literature across children’s pain during immunizations, venous access, burn debridement and treatment, and cancer treatments. The chapter concludes with a discussion of some of the other reviews of this literature as well as clinical and research considerations when examining distraction for paediatric pain management.