Healthcare system’ indifference to the children’s companion needs may decrease the family's power to provide optimal postoperative pain care.

The healthcare providers are less preventive in managing postoperative pain.

It seems that the non-pharmacological management of postoperative pain has been delegated to the parents without enough education.

Sometimes parents are hesitant to report their children's pain or use their parental experiences for postoperative pain management.

Children's self-censorship of postoperative pain is not always due to fear of injection, sometimes they want to support their parents.