Dowlut–McElroy T, et al. – This study is performed to assess the attributes of girls with accidental genital trauma (AGT) who can be managed in the emergency department (ED) versus the operating suite (OS). Most AGT can be managed expectantly. Penetrating injuries, injuries to the hymen/vagina/urethra/anus, and injuries with a maximal size of > 3 cm ought to be considered as indications for management in the OS. With adequate procedural sedation, the majority of girls with minor injuries as a result of AGT can undergo a thorough examination and repair of AGT in the ED.