Surgical procedures in pediatric dentistry are unique, as they are related to a certain age and they are in many ways different from those in adult patients. Children’s age is characterized by many anatomical, morphological and histological specifics. Some of those are bone structure, root resorption of deciduous teeth, supernumerary teeth, and soft tissue anomalies. It is of critical importance that the doctor of dental medicine is familiar with several behavioral techniques to restrain a child during surgery. Procedures themselves can be done by both conventional techniques and more modern methods, by using hot knife thermocutter or laser. The most common oral surgery procedure is tooth extraction during which the adequate movements tear the fibers of the periodontal ligament and the alveolus spreads so the tooth can be pulled out as a whole. The main instruments used are the forceps and luxators. Supernumerary teeth frequently occur in children’s age (the most common being mesiodens), and they are diagnosed clinically and by X-ray. Furthermore, it is necessary to be very careful when removing a supernumerary tooth in order not to extract a wrong permanent tooth. Acute odontogenic infections often occur as a result of untreated caries. The primary therapy is tooth extraction, abscess incision and drainage, and the secondary is the usage of antibiotics. Certain complications can happen while performing the procedure, of which syncope and postoperative pain are the most common, but bleeding and anaphylactic shock are more dangerous. After each surgical procedure, the patient receives specific postoperative instructions.