Children and adolescents who are exposed to smokers in their household are 3 times more likely to initiate smoking themselves (Winickoff, Berkowitz, et al., 2005). If successful in getting parents to quit smoking, pediatric providers will have helped parents and their families improve quality of life standards in a variety of ways, including adding 7 years to the parent's life and eliminating the majority of second-hand smoke exposure in children. The purpose of this clinical article is three-fold; (1) to discuss the role of pediatric primary care providers in parental smoking cessation, (2) to discuss the obstacles faced by parents in smoking cessation and how the primary care provider can help them to surmount them, and (3) to discuss the obstacles faced by pediatric primary care providers in assisting parent smoking cessation and options to surmount them.