A 2017 study found that 87% of elementary teachers reported consulting Pinterest when planning mathematical lessons (Hertel & Wessman-Enzinger, 2017). When searching for resources on Pinterest, preservice teachers identified looking at the number of pins to determine their quality (Author, 2017). Which leaves teacher educators wondering, what is the quality of materials that preservice and inservice teachers are finding on Pinterest? We conducted a document analysis on the top 500 elementary mathematics pins found on Pinterest to determine what kinds of elementary mathematics materials are available, what mathematics topics are represented, the level of cognitive demand of the elementary mathematics activities, and how the image found on the activities relate to the level of cognitive demand. We found that less than two percent of activities are the highest level of cognitive demand and decorative images are correlated with lower level elementary mathematics activities. With this information, teacher educators could help prepare teachers to decide which resources they should use and what they should look for to increase the level of cognitive demand of elementary mathematics activities they implement in their classroom.