As patients with juvenile rheumatologic conditions become adults, they transition from carer-led health care to autonomy in self-management. This health-care transition process is underappreciated by rheumatologists, according to an online survey of 134 of their young patients in the USA. Less than half of respondents reported talking to their rheumatologist about adult health-care needs, and only about one-third of patients discussed transferring to adult medicines.