Parents seek sustained intense "hands-on" therapy for their children based on a belief that "more is better." Since the core objective of evidence-based practice (EBP) is to do the right things, for the right child, at the right time, and to optimize intervention outcomes, it is vital to know what the literature says about how much therapy to provide. The author argues that it is very difficult to draw firm conclusions from the literature about the optimal intensity of pediatric therapy. One of the reasons for the difficulty in interpreting the therapy intensity literature is the vast variations in practice and the major shifts in underpinning theories that have evolved over time. The author advocates that it is time for evidence-based physical and occupational therapists to be more discriminatory in the way in which they choose the intensity of therapy for their pediatric clients.