I consider how the deliberative model defended by Emanuel and Emanuel might be modified to accommodate cases in which the patient is a very young child whose parent is the presumed medical decision maker. Drawing on a parent-centered account of parents’ rights to explain why, in most cases, parents can justifiably make medical decisions for their children, I argue that on the modified version of the deliberative model, physicians should pressure or try to override a parent’s medical decision when this is necessary to preserve significant welfare or agency interests on behalf of the child. Importantly, this account is consistent with parents being justified in making medical decisions for a child that do not promote the child’s best interests.