Children riding bicycles are at significant risk for head injuries. Although we can attempt to reduce the likelihood of an accident by teaching and enforcing safe riding skills, this will do little to reduce the incidence of a head injury if an accident occurs. Wearing a properly fitted and maintained helmet that has been certified is the best method for reducing a tragic injury. Choosing to have a child wear a helmet may cause adjustments, but it hardly compares to those imposed by any type of head injury.