Lee AC, Redding AT, Tjia I, et al. - Researchers examined a case series to assess instances of self‐reported awareness documented with Wake Up Safe, a patient safety organization that maintains a database of adverse events in pediatric anesthesia. During study span, there were 14 cases of self‐reported intraoperative awareness out of 555,360 cases in patients aged 5‐20 years. The estimated overall incidence of awareness was 2.52 cases per 100,000 patients, or nearly 1:40,000. More often, self‐reported intraoperative awareness was related to cardiac and gastrointestinal endoscopic procedures. In pediatric patients, self‐reported intraoperative awareness rarely occurred as a complication and carries implications for harm. Cases with a greater impact may be those with self‐reported awareness during general anesthesia vs awareness cases elicited by a questionnaire method. Considering a preoperative discussion of intraoperative awareness for procedures carrying a higher probability of awareness is recommended so that harm may be mitigated.