We consider second-order viscous hydrodynamics in conformal field theories at finite temperature. We show that conformal invariance imposes powerful constraints on the form of the second-order corrections. By matching to the AdS/CFT calculations of correlators, and to recent results for Bjorken flow obtained by Heller and Janik, we find three (out of five) second-order transport coefficients in the strongly coupled N = 4 supersymmetric Yang-Mills theory. We also discuss how these new coefficents can arise within the kinetic theory of weakly coupled conformal plasmas. We point out that the Müller-Israel-Stewart theory, often used in numerical simulations, does not contain all allowed second-order terms and, frequently, terms required by conformal invariance.