Background: Thyroid surgery is crucial for treating children with benign thyroid disorders, and imaging of thyroid nodules is a crucial component of the diagnostic process. Objective: Analysis of the clinical traits, surgical management, postoperative complications, and prognosis associated with thyroid surgery in children and adolescents is the goal. Methods: Retrospective clinical data analysis was done on children and teenagers who underwent thyroid surgery for benign thyroid illness or thyroid malignancy. Each tumor's pre-operative diagnostic characteristics were noted to distinguish benign from malignant tumors. We next discussed several surgical procedures for treating various thyroid problems as well as post-operative complications. Results: Information from 52 kids was assessed. Pre-operative imaging identified malignant (n=9), suspicious for malignancy (n=4), borderline (n=3), probably benign (n=6) and benign (n=15) cases. There was no statistical difference in the mean age between the benign and malignant groups and gender difference. 15 individuals had fine needle aspiration (FNA) as the sole diagnostic procedure without any later surgical intervention. Surgical procedure such as thyroid lobectomy, thyroidectomy, paratracheal neck dissection, neck dissection and partial pleurectomy was conducted in rest 37 patients. Unilateral vocal cord paralysis was observed in 1 patient after surgery. Other post-operative complications observed were localized wound infections and temporary hypoparathyroidism. Conclusion: This study showed that thyroid surgery and pre-operative imaging are safe and effective procedures that should only be performed by qualified radiologists and skilled surgeons. The preoperative evaluation and treatment of postoperative results and complications both depend heavily on paediatrician.