This document discusses pediatric palliative care and why internists need experience treating pediatric patients. It notes that pediatric palliative care aims to improve quality of life for children with life-limiting illnesses and their families through pain and symptom management as well as psychosocial support, often provided in conjunction with curative treatment. Rates of pediatric deaths at home have increased in recent decades due to improved palliative care. The document outlines considerations for discussing prognosis with pediatric patients of different ages and provides an overview of key recommendations and resources for pediatric palliative care.