Gout in children should first exclude secondary diseases, such as kidney disease or myelodysplastic syndromes, as well as enzyme deficiencies caused by congenital genetic disorders. After secondary diseases are excluded, primary gout is clearly diagnosed, and then treatment is carried out according to the patient’s condition. First, patients should adjust their lifestyle, such as adhering to a low-purine diet, drinking more water, strictly controlling body weight, and reducing the intake of fatty foods as well as carbonated beverages and fruit juices rich in fructose. Secondly, the active application of uric acid-lowering drugs. For other diseases caused by hyperuricemia, need to actively treat the primary disease. Gout in children does not necessarily occur only in obese children, some relatively thin children can also appear gout. Gout in children must be treated early to avoid serious complications.