Oral surgery in pediatric dentistry is related to clinical conditions that are specific to children or involves classic surgical procedures that need to be modified due to the morphological and anatomical characteristics of children. The therapist must individually approach the plan and implementation of therapy and assess the type of behavior of the child. The most common procedure in dental offices is tooth extraction. Likewise, orthodontic anomalies caused by tooth impaction are often diagnosed in children, so procedures for showing or extracting an impacted tooth are also very common. Furthermore, odontomas, cysts, and mucocele may occur in the pediatric population and require removal by surgical approach. In addition to classical surgery, these procedures can be performed by alternative methods, e.g. using a laser. In the case of odontogenic infections, it is very important to react in time - to recognize the tooth that caused infection, to do its treatment or extraction and to drain the existing abscess. In childhood, due to exploration of the environment and playing, traumatic injuries of the orofacial system often occur. Affected teeth and surrounding tissues require urgent rehabilitation and the readiness of the therapist. In tissue abnormalities such as pronounced labial frenulum and ankyloglossia, frenectomy is performed by classical methods or by using alternative methods such as lasers and electrocauterization. Some congenital disorders are manifested in the oral cavity, so surgical procedures such as extractions, dental imaging and implant procedures are often performed. Complications of oral surgery in children do not differ from those in adults, and in order to prevent their occurrence, the most important thing is to take a good anamnesis and be prepared for the possibility of their occurrence.