The heat wave in Philadelphia as usual has led to children playing in open fire hydrants and lacerating their feet. We have several opinions on the advisability of suturing these wounds. I'm interested in the approach taken around the ?world based on length, depth, edge separation and location on the foot. I have not been suturing those between the toes that approximate with buddy taping or small shallow lacerations, but larger, gaping wounds on weight bearing surfaces I have been closing. I just finished listening to the complaint of a local pediatrician whose patient with a 3cm laceration on the ball of the foot was managed by one of our EM residents without suturing. It is healing well but he reports that the child has difficulty ambulating as the wound is granulating.