This chapter is an effort at looking at present updated literature on pediatric oculoplastic procedures in a critical manner with a view to applying the recent evidence to everyday clinical practice. The commonest pediatric oculoplastic procedures are addressed here. It describes ptosis in detail ranging from its classification into congenital and acquired forms, their variations from aponeurotic ptosis, a brief about unconventional ptosis, to their respective treatment and management protocols. It also details the types of orbital implants used in pediatric patients at the time of enucleation. The commonest indications for enucleation are retinoblastoma, blind eye following trauma and end stage retinopathy of prematurity. The average percent volume replaced by the implants in pediatric patients is 21%. Up to 71% of pediatric patients undergo secondary implant surgery to augment volume and eliminate superior sulcus deformity and enophthalmos. This chapter also includes lid and orbital tumors affecting children. Most pediatric orbital tumors are benign; developmental cysts comprise half of orbital cases, with capillary hemangioma being the second most common orbital tumor. The most common orbital malignancy is rhabdomyosarcoma. The most common intraocular malignant lesion is retinoblastoma. The orbit is the most common location for metastases in children, whereas the choroid is the predominant site in adults. It also includes a brief description of various congenital eye disorders like congenital eyelid retraction and thyroid, congenital entropion, ectropion, and cryptophthalmos, which is a very rare congenital anomaly of the eye characterized by skin passing continuously from the forehead to the cheek over a malformed eye.