A stoma is a medical term that stands for an artificial opening made into a hollow organ, especially one on the surface of the body leading to the bowel or trachea. Gastrostomy is one of the oldest abdominal operations in continuous use and its history is closely associated with the evolution of modern surgery. Gastrointestinal ostomy surgeries are performed for several reasons, for feeding, decompression, administration of medications and performance of diagnostic and therapeutic procedures within the specific segment of gastrointestinal tract. Stomas are also divided into temporary and permanent ones. In paediatric surgery, most ostomy surgeries are performed to create temporary stoma. Several techniques are commonly used for gastrointestinal stoma creation. Ostomy surgery requires high level of skill, knowledge and, in many cases, creativity. Technical requirements for the surgery have to be satisfied. Neonatal necrotising enterocolitis (NEC) and gastrointestinal atresias are the most common indications for ostomy surgery within the paediatric population. Other ones include Hirschprung's disease, meconium ileus, ulcerative colitis and hereditary familial polyposis (in elder children). Ostomy surgery is a major operation that significantly affects a patient's quality of life. Considering that, the decision for performing one has to be carefully considered.