Hart L, et al. - This is the first qualitative study investigating the barriers and facilitators to good bowel preparation for colonoscopy in children. From May 2015 to January 2016, children age 2 to 18 years old, and their parents were selected from the McMaster University Gastroenterology clinic. Confusion regarding the mixing of the preparation and allowable diet during the preparation day, as well as lack of clarity on expected stool end goals, were the included barriers. Ease of access of the gastroenterology team, a small volume of liquid mixed with the preparation, few adverse effects, and the provision of an understandable handout were the included facilitators. In addition, parental motivation to achieve a good outcome was also a facilitator. The findings from the present study suggested that being able to identify barriers and facilitators will allow gastroenterologists to improve the quality of bowel preparation and overall experience for the pediatric population.