We are concerned that the protocol for evaluation of adolescent rape victims recommended by the American Academy of Pediatrics, Committee on Adolescence, contains several instances of misplaced emphasis, in light of current information about sexual assault in adolescents. The sheet puts strong emphasis on the examiner's discovery of injuries, although recent reports indicate that only about one third of adolescent and adult rape victims sustain any physical injury at all and that 7% to 26% sustain genital injuries.