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In summary, orthopedic surgery as a whole is becoming increasingly specialized. The field of pediatric orthopedic surgery has experienced significant growth over the past 20 years. Dual-fellowship–trained surgeons specializing in both pediatric and sports medicine fellowships are treating an increasing number of pediatric orthopedic injuries, making pediatric orthopedic sports medicine a potential new emerging subspecialty. With fellowship training now being the norm rather than the exception across orthopedics, it is possible that dual-fellowship training may become a prerequisite for treatment of pediatric sports medicine patients. This may impact the practices of surgeons trained in either pediatric or sports medicine alone. As the trend toward dual-fellowship training is likely to continue, future studies will be needed to characterize the impact that it has on patient care and training patterns.