© Logos Medical Publishing. All rights reserved.Since December 2019, when it was first reported as an atypical pneumonia with unknown source, our general knowledge on SARS CoV-2 or commonly known as COVID-19 is accumulating and changing day by day. COVID-19 pandemic has adversely affected the globe and global healthcare systems, health institutions and associated co-workers. To date, several reports, papers and guidelines published to discuss how to diagnose and treat this condition and how to surgeons or operating room crew should act pre- per- and post-operatively during such a pandemic. In this paper, we discuss the preventive measures and precautions that should take during COVID-19 pandemic in pediatric surgery have been evaluated, not only for children who needs prompt and proper emergency surgery but also for the patients' and health workers' safety. We reviewed current literature in terms of international published papers, recommendations, algorithms and Ministry of Health guidelines based on Scientific Committee Study. According the current data, we compiled Pre-operative and Per-operative guide and recommendations for Pediatric Surgeons to be follow during COVID-19 pandemic.Keeping in mind that children with COVID-19 infection might be asymptomatic; postponing the elective procedures and right decision making between emergent/urgent and elective procedures, preoperative preparation, accurate use of protective equipment, careful selection of surgical materials and operative methods are the key elements for patients' an surgical team's safety.