Education in surgery is designed to develop cognitive knowledge, surgical judgment, technical ability and teaching skills. The practice of surgery requires the application of clinical data and technical skills. Surgical judgment is that combination of knowledge, confidence, ability, and compassion that leads to a successful practice. During the period of training, the pediatric surgical resident is expected to complete a curriculum that will give them the in-depth knowledge that is required to be a successful pediatric surgeon. This curriculum includes rotations on other services important to the care of the pediatric surgical patient. In addition to the routine issues surrounding the operative management of Pediatric Surgery patients that the resident will be exposed to on a day-to-day basis, there are specific areas that deserve special focus. For this reason a curriculum has been created to emphasize these areas in Pediatric Surgery that might otherwise not receive the attention they warrant. This curriculum is based on hands on training, didactic lectures and self-learning.