First step for ACP in creating this list was to involve the pediatricians belonging to its organization (chair every regional referee), sending e mail to explain the history, the ratio and the aims of this project. Every pediatrician was asked to choose one or more tests, treatments or procedures in his every day practice, very commonly used, which appear not to be beneficial for many patients but rather to expose them to additional risks and which should be used more properly, through a shared decision making taking into account patient’s needs and desires. Among all the recommendations, a working group selected the ones indicated by most pediatricians, with particular regard to ACP priorities.. All recommendations have been revisioned in April 2021