Introduction: Dog bite injuries are common in children. There is no consensus on the management of these injuries. We hypothesize that imaging is over utilized in the initial workup of these patients. In an effort to reduce radiation exposure, we aim to determine which patient population and injury patterns would necessitate imaging studies for management. Methods: A retrospective IRB approved review was performed on all patients presenting with dog bites to our level I pediatric trauma center between 2013 and 2015. Data collected included: patient demographics, injuries and imaging studies performed. Our analysis focused on maxillofacial CT scans, and plain radiographic studies of the limbs. Imaging studies were considered positive if there was evidence of bony injury. Results: We identified 615 patients with dog bites to analyze, with 136 patients having had at least one imaging study performed. These included a CT scan of the head, face and neck and/or plain limb radiographs. Only 13 patients (9.6%) had positive studies. We chose to analyze the two most common imaging modalities completed: maxillofacial CT scans and limb radiographs. In the CT scan group, 4 of 22 (18.2%) studies were positive with 3 of the 4 patients (75%) under 2 years of age (4 to 19 months). All underwent operative reduction of their fractures at the time of their soft tissue injury repair. Of interest, none of these patients had findings that reliably identified the fractures on physical examination. In the plain radiograph group, 136 studies were performed with only 8 (5.9%) positive studies. Of the 136 studies, there were 39 hand (28.7%) and 97 (71.3%) long bone radiographs. Of the hand radiographs, 6 (15.4%) were positive, whereas in the long bone radiographs only 2 (2.1%) were positive. There was one femur fracture in a 14 month old, and one humerus fracture in a 24 month old. Both patients had physical exam findings suggestive of a fracture. Conclusion: Our review indicates that imaging studies are over-utilized in the initial workup of these patients, and the majority of these studies are negative. The physical exam is unreliable to diagnose facial fractures, and a maxillofacial CT scan is a reasonable study to obtain especially in a child under 2 years of age. In dog bites to the limbs, hand radiographs are more likely to be positive than long limb radiographs. As such, it is reasonable to obtain a hand radiograph; however, a good physical exam should identify a patient with a long bone fracture which can be confirmed by a radiograph. This study confirms that it is feasible to institute guidelines for ordering imaging studies in dog bite patients. This will ultimately reduce radiation exposure, and generally reduce cost of care for these injuries.