Before coming to work at Children’s Hospital, chalazion was always a minor surgery for ophthalmologists, and as an ophthalmologist, you would be ashamed to say that you could not perform chalazion. The real change came after I came to work at Children’s Hospital, one is that I never thought that children’s chalazion would have such a high incidence and serious condition; one is that the surgery is not as simple as adults, its complexity, if you have not done it yourself, you definitely do not understand. There are a number of factors that contribute to why chalazion in children can develop so severely. The child’s condition itself develops quickly and is often multiple, most parents are heartbroken and unwilling to let their children suffer, worried that general anesthesia will have an impact on the child’s intelligence, plus many adult hospital specialists do not realize its seriousness, which leads to the timing of surgery being delayed again and again, and often parents are really unable to tolerate it before surgery is considered. In clinical practice, we often see beautiful children with “scarred” eyes, which makes us feel very uncomfortable. Based on the above characteristics, surgery for chalazion in children is not an easy task. For adults, it is enough to cut out most of the chalazion wall and clean it up. For children, first you need to be clear about how many chalazia there are, whether they are already growing or potentially induced, after all, it is not easy to anesthetize a child once. Secondly, for chalazia that are protruding from the skin and have become “scarred”, it is important to be patient and careful, cleaning out the “rotten” skin, removing the underlying capsule wall and granulation tissue, and most importantly, closing the skin wound. It should not be too tight to cause the eyelid to flip out, nor too loose, or the sutures will burst if the child cries violently once. At the same time, there should not be any stump left on the skin surface, otherwise a large scar will be formed after the wound heals. All in all, chalazion surgery in children is not a minor surgery, but contains a great deal of knowledge, and each surgery should be done carefully and meticulously, and parents should go to a children’s specialty hospital early rather than leave it to chance.