Along with the growth of child participatory research an increased focus on its complexity, specifically unaddressed power inequities in the research relationship and unreflexive use of methods, has developed. This article discusses a participatory research project with children in Ireland and reflects on attempts to achieve deeper participation through the use of children and youth advisory groups, mixed visual and discursive group methods. It argues that overly paternalistic frameworks adopted by ethical review bodies can hamper participatory research with children.