Urinary frequency is a commonly encountered problem in pediatric urology clinics. There are several possible causes of frequent urination, and the first diagnostic step is a urinalysis to rule out urinary tract infection and diabetes. Urinary frequency usually begins around age 5, often appearing suddenly. This phenomenon is believed to be the result of increased sensitivity of the bladder. A child may feel a strong urge to urinate, even though the amount of urine in their bladder is often very low. Discouraging urination is not recommended, as it can lead to other problems such as incontinence. Most children who experience urinary frequency have good bladder control. In some cases, urination may occur every five to ten minutes, while in others it is less frequent. Some children may experience an increase in urination at night, but when they go to sleep they usually sleep peacefully. Before that, they may get up to use the bathroom frequently. In our evaluation of children with this condition, we rely on taking a detailed medical history, performing a physical examination, and performing a urinalysis. In some cases, an abdominal ultrasound is done to rule out any abnormalities. Unfortunately, there are limited treatment options available for this condition. Medications commonly used to treat daytime incontinence or bedwetting may not be effective. These drugs work by modulating the motor component of the bladder and do not address the increased sensation of the bladder that lowers urinary frequency. However, some physicians may prescribe medications that target bladder inflammation, which is believed to be an allergic-type phenomenon that may contribute to the condition. The most important approach is to reassure the child that his condition will improve over time. Once they begin to focus on other activities, they will be less likely to be preoccupied with the sensation of bladder fullness. In rare cases, older children may experience a decrease in urinary frequency after taking the prescribed medication for a few days.