Purpose Injuries from dog bites are common in the paediatric population. Understanding patterns and identifying high risk individuals is key to reducing the impact of this preventable problem. There are two previous studies in Australian children investigating the epidemiology of dog bites (Sydney and Adelaide). This is the first study in the North Queensland (NQ) population. Methodology Data was retrospectively collected from the emergency department database using ICD 10 coding system from September 2016 to August 2023. Results A total of 424 children with a mean age of eight-years were treated during the study period. Aboriginal and Torres Strait Islander children were greatly over represented, making up 30.9% of patients (versus 9% of NQ). Male children made up 54% and females 46%. In documented cases, the most common breeds of dogs involved were: Staffordshire terrier (11.3%), Rottweiler (9.4%) and Husky (8.4%). The owner of the dog was a family member or known to the family in 63.0% of cases. Injuries to head and neck region (48.1%) were the most common primary site. The majority of patients were managed in the emergency department (77.6%, n=329). Operative intervention was required in 18.1% (n=77), and Indigenous children were more likely to require operative management (24% versus 15% respectively, p=0.03). Conclusion Dog bites in children are common in NQ with over fifty cases per year. Aboriginal and Torres Strait Islander children were overrepresented and more likely to require operative intervention. Further targeted education is required to reduce the morbidity of this common, preventable condition.