Management of primary congenital glaucomas is primarily surgical. Goniotomy or trabeculectomy each have success rates of 40–90% in the management of primary congenital glaucoma. In case of secondary glaucoma’s associated with, e.g. aphakia, aniridia, anterior segment dysgenesis and Sturge-Weber syndrome, goniotomy or trabeculectomy success rates are low. When goniotomy or trabeculectomy fails or are inappropriate to control intraocular pressure (IOP) in pediatric patients, alternatives include filtering surgery or drainage implants. Aqueous shunt implantation offers a significantly greater chance of successful IOP control. Baerveldt 350 (mm²), Baerveldt 250 (mm²) and the Ahmed (184 and 96 mm²) are common implants. Immediate lowering of IOP is done by Ahmed implant. Early postoperative high IOP can be medically treated. Early postoperative hypotony does not require treatment as long as the anterior chamber (AC) is not flat. Logically, IOP lowering medication can be stopped.The most frequent complication of this is tube related, varying from mild dyscoria to tube exposure. Mild motility disturbances are also seen. Glaucoma implants are effective and safe in the management of pediatric glaucoma, despite its propensity for tube related postoperative complications. Lifetime follow up can be helpful to control and diagnose tube related problems.