Background: During Ramadan, Muslims abstain from all water, food, and medications from dawn till dusk. To date, the existing medical literature focuses on adult fasting health outcomes with little attention paid to pediatric fasting practices. Objectives: The goal of this study is to compare results between a parent-based survey and physician survey regarding pediatric Muslim fasting in Southeast Michigan. Methods: Two digital surveys were conducted using Qualtrics software. The first was a bilingual parent survey, where participants identified as Muslim and were parents/ guardians of children between 7 to 18 years old. A subsequent second survey was administered to residents, fellows and attendings in the specialties of Pediatrics, Medicine-Pediatrics, and Family Medicine in Michigan. Results: Between July 2017 and May 2018, 918 people took part in the initial survey, with 70% (524/751) of participants living in Wayne County, MI. Approximately 80% (624/779) identified as Arab American and 57% (437/773) as immigrants to the US. Over 63% (522/827) of participants reported that their child’s health care provider was unaware that their child/ren fasted during Ramadan. In addition, 75% (613/820) of participants indicated that their child’s health care provider did not offer them any medical advice regarding fasting. However, 69% (554/805) of participants reported feeling comfortable discussing fasting practices with their child’s doctor. Furthermore, 80% (569/714), of participants felt that their child/ren’s doctor had a good or an advanced understanding of fasting. From March to April 2019, 269 participants responded to the physician survey with 90% (243/269) identifying as Pediatrics trained. Overall, 51% (137/269) were residents, 7% (19/269) were fellows and 42% (112/269) were attendings. Most physicians, 66% (167/253), reported they never asked their pediatric patients or their families about fasting. About 61% (159/259) of participants rated their understanding of fasting as minimal to none. Another 54% (140/259) of participants reported feeling somewhat or extremely uncomfortable discussing fasting recommendations with their pediatrics patients and their families. Conclusion: Our study is an important first step in helping elucidate beliefs and practices about pediatric fasting among Muslims and their physicians in Southeast Michigan. In addition, it highlights a stark contrast between the perceptions of parents and the current clinical practice of physicians.