Background: Roller shoes (Heelys), which have one or more removable wheels embedded in each sole, allow the wearer to walk, run, or roll by shifting their weight to their heels. Objectives: The aim of this study was to analyze pediatric roller shoe injuries in Korea. Methods: Injury cases associated with roller shoes were collected from the consumer injury surveillance system of the Korea customer agency and analyzed. Results: Questionnaire survey was conducted among 300 elementary school pupils. One hundred pediatric roller shoe wearers (RSWs) were assessed regarding whether they wore protective equipment. Among the 29 injury cases, 24 were safety accidents, and most of them were caused by falls while rolling. Hand and wrist injuries were the most common (25.0%), followed by injuries to the face, arm, and leg. Contusion was the most common type of injury (39.1%), followed by laceration and fractures. Among the 300 children surveyed, 23.0% had roller shoes. The minority of children (27.5%) reported using roller shoes alone. Most of the RSWs answered that they had the experience of rolling in multiuse facilities. The most frequently visited multiuse facilities were department stores (72.5%), followed by shopping malls, and food courts or cafes. Over half of RSWs answered that they had experienced rolling in danger zones for safety accident, and 47.8% reported experiencing accidents. About two-thirds of RSWs answered that they did not remove the wheel while walking. Most of RSWs (82.6%) indicated that they didn't wear protective equipment. Among the 100 children wearing roller shoes, 99 did not wear any kind of protective device; only one child wore a helmet, elbow protector, and knee protector. Conclusions: RSWs are recommended to wear protective equipment and to be accompanied by parents. Inside commercial facilities, signs prohibiting the wearing of roller shoes should be affixed.