 The Korean Ministry of Health and Welfare has designated pediatric emergency centers since 2016, but there are still issues with the selection process and operations. These include uneven regional distribution, difficulty meeting the criteria for designation, and lack of qualified pediatric emergency specialists. To address these issues, more PECs should be designated, insurance costs should be analyzed, and community practices should be strengthened through backup treatments from pediatric sub-specialists. This article was authored by Jin Hee-young, Yong Ho-kwak, and Hyun No.