Pedestrian casualties represent a particularly heterogeneous population in terms of their biomechanical characteristics. Age and sex are two measureable parameters which relate to this variation, whilst the circumstances of the accident control the frequency and severity of exposure to certain types of trauma. This paper looks at some of the dominant accident variables. These are the pedestrian's age and stature, the car impact speed and some of the detailed geometrical and physical characteristics of the car exterior. The great importance of leg fractures and head injuries is illustrated and some of the conseqllences for design are discussed in terms of realistic and appropriate test procedures.