This article examines the differences in presentation, assessment and management of wounds in children compared with adults. In particular, it looks at pressure ulcers, their prevalence in children aged 0–18 years, location and how they present. The structure and function of the skin is also discussed, with consideration of risk factors associated with formation of pressure ulcers in children. The results of an online survey into healthcare professionals’ confidence and competence of wound and pressure ulcer assessment and management in this patient population within a large NHS trust is also explored, as this identified the need to provide more education and training to enhance tissue viability services for children.