Many children who fail to grow have recognisable syndromes, the remainder have less clear-cut signs and symptoms or a unique presentation. Milder cases of both growth hormone deficiency and growth hormone insensitivity can be poorly defined and can overlap with those labelled as having idiopathic short stature (ISS) [Savage, 2021]. Clinical skills and experience are therefore essential to the management and treatment of all children of short stature, from initial presentation, through examination, to care and therapy. Digital solutions to healthcare problems have an increasing role in supporting the clinical skill of physicians. The place of AI and related advances is currently in automating tasks: assisting in diagnostics, predicting patient outcomes and personalising patient care by analysing vast datasets [Dimitri, 2024]. Children have individual needs and vulnerabilities, which should be viewed within the context of family relationships and dynamics [Savage, 2025; Dimitri, 2024]. Long-term growth management can be challenging for patients, families and healthcare professionals, and optimal responses to growth hormone therapy depend on the creation of a good working relationship [Child, 2021]. Thus, the need for clinical skills and experience to understand, diagnose and treat a child of short stature remains the cornerstone of paediatric endocrinology, augmented by technology, but not replaced.