Is there anything wrong with wanting to be more alert in a school class or to do better on an entrance examination? What about having better concentration on the balance beam or greater muscle mass for a wrestling match? What about the parent who wants his average-size basketball-playing son to be 3 inches taller? Most pediatrics patients want to do well and to succeed, and their parents are generally supportive of such desire. Should we, as physicians, be complicit with their goals, and if so, to what extent do we participate? This treatise highlights some of the foundational ethical principles regarding the use of enhancements in the pediatric population, specifically the use of growth hormone (GH) as a height enhancer, as well as some of the unrealized technologies that are on the horizon. Reflective consideration of the use of enhancements must guide not only current therapeutic options, but also future...

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