Nonoperative and operative management for early onset scoliosis has changed significantly since the Harrington era 50 plus years ago. Surgeons learned quickly that a spine fusion in the growing child can result in a short thorax and the development of thoracic insufficiency syndrome. Techniques were developed and refined over the subsequent decades to allow for spinal growth, control spine and chest wall deformity, and limit pulmonary demise. This is a PSSG collaboration on the authors preferred techniques for magnetically controlled growing rod insertion.