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An evidence-based practice literature search was done to determine if music therapy during painful procedures could decrease distress in children. Literature was obtained from two electronic databases. Twenty-five articles were initially found through the search engines. Five of these articles were further evaluated based upon relevance to the research question. The studies were evaluated through consistent methods including setting, sample, purpose, design, findings, and limitations. Each study strength on the evidence hierarchy was identified. Four studies had moderately strong evidence while one study had moderately weak evidence. Each had significance for the use of music as a pain management technique, but three of the studies had no statistical significance. A significant reduction was found in preoperative anxiety before various procedures, such as ophthalmology, dentistry, surgery, urology, etc. Overall, data supports the use of music during painful procedures in children as an additive method to other pain managements.